LIBRARY

Vol. 5, Issue 1

Volume 5, Issue 1

Pages 13–4

PDF
IMAGES
INFECTION

Periorbital Abscessing Furuncle

Olha S. Cherniaka, Ievgen I. Fesenkob more
a Olha S. Cherniak

Physician of Ultrasound Diagnostics; Head, Department of Ultrasound, Regional Diagnostic Center, Kyiv Regional Clinical Hospital, Kyiv, Ukraine cherniak.os@gmail.com

b Ievgen I. Fesenko

Physician-Stomatologist-Surgeon, Physician of Ultrasound Diagnostics, Center of Maxillofacial Surgery and Dentistry, Kyiv Regional Clinical Hospital (place of work at moment of material collection), Kyiv, Ukraine i.i.fesenko@dtjournal.org PhD, Associate Professor, Department of Oral and Maxillofacial Surgery, Private Higher Educational Establishment “Kyiv Medical University.”

January 29, 2021

https://doi.org/10.23999/j.dtomp.2021.1.4

J Diagn Treat Oral Maxillofac Pathol 2021;5:13–4.

Under a Creative Commons license

HOW TO CITE THIS ARTICLE

Cherniak OS, Fesenko II. Periorbital abscessing furuncle. J Diagn Treat Oral Maxillofac Pathol 2021;5(1):13–4.

INSTITUTION REPOSITORY

https://ir.kmu.edu.ua/handle/123456789/648

ARTICLE

After plucking eyebrows a 27-year-old female patient noted left eyelid swelling, redness, increasing of pain and body temperature with no visual deficits. The examination showed the presence of crust (Panel A: arrow) just below the medial part of the left eyebrow. Ultrasonography (model HD11 XE, Philips) was performed using linear transducer (frequency range: 12-3 MHz) in the supine position of the patient. Firstly, a comparative gray scale ocular ultrasound (US) of the right (Panel B) and left eye (Panel C) showed only a soft tissue hypoechoic swelling anteriorly to the left eye. Increased distance (due to edema) between skin surface and cornea is labeled by vertical line. But placing the transducer in the projection of the crust and parallel to the left eyebrow (Panel D) the gray scale US (Panel E) showed fluctuated nearly anechoic heterogenic area with ill-defined margins (indicated by ‘+’ and ‘×’ calipers) measured 1.21 × 1.06 cm. Such data suggested presence of limited purulent content. Furuncle (also known as boil) is a single hair follicle–associated bacterial infection (in 96 to 98 percent caused by Staphylococci [in 88–90 percent – by Staphylococcus aureus and in 6–10 percent – by Staphylococcus epidermidis])2 of the perifollicular tissue.1,3 Also, furuncle is named in the literature as acute purulent-necrotic inflammation of the single hair follicle and surrounding tissue.2 Abscessing (ie, fluctuating) furuncles require its drainage what was done in our case under the local anesthesia with a several days rubber drainage placement.1,2 Intramuscular ceftriaxone was prescribed (2.0 g daily) and complete recovery was noted at 7-day follow- up. Summarizing, orbital US continues to prove its efficacy in the wide variety of orbital inflammatory cases4,5 becoming a viable tool during the different stages of treatment. ■ DTJournal

Panel A.

Panel B.

Panel C.

Panel D.

Panel E.

REFERENCES (5)

  1. Lin HS, Lin PT, Tsai YS, Wang SH, Chi CC. Interventions for bacterial folliculitis and boils (furuncles and carbuncles). Cochrane Database Syst Rev 2018;2018(8):CD013099. Crossref
  2. Tymofieiev OO. Maxillofacial surgery and surgical dentistry [Russian]. Kyiv, Ukraine: Medicine; 2020.
  3. Lopez FA, Lartchenko S. Skin and soft tissue infections. Infect Dis Clin N Am 2006;20(4):759–72. Crossref
  4. Mair MH, Geley T, Judmaier W, Gassner I. Using orbital sonography to diagnose and monitor treatment of acute swelling of the eyelids in pediatric patients. AJR Am J Roentgenol 2002;179(6):1529–34. Crossref
  5. McIlrath ST, Blaivas M, Lyon M. Diagnosis of periorbital gas on ocular ultrasound after facial trauma. Am J Emerg Med 2005;23(4):517–20. Crossref