Ophthalmia neonatorum complicated with neonatal orbital cellulitis: A case series

Orbital cellulitis is an extremely rare but potentially lethal condition in neonates. The clinical presentation of neonatal orbital cellulitis can be non-specific, and minimal signs of periorbital inflammation may go unrecognised by inexperienced parents or primary care medical personnel, leading to...

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Main Authors: Ngee Ling Law, Vi Chee Tan, Thiam Hou Lim, Nurul Asyikin Rosli
Format: Article
Language:English
Published: Academy of Family Physicians of Malaysia 2024-01-01
Series:Malaysian Family Physician
Subjects:
Online Access:https://e-mfp.org/wp-content/uploads/19.5.pdf
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author Ngee Ling Law
Vi Chee Tan
Thiam Hou Lim
Nurul Asyikin Rosli
author_facet Ngee Ling Law
Vi Chee Tan
Thiam Hou Lim
Nurul Asyikin Rosli
author_sort Ngee Ling Law
collection DOAJ
description Orbital cellulitis is an extremely rare but potentially lethal condition in neonates. The clinical presentation of neonatal orbital cellulitis can be non-specific, and minimal signs of periorbital inflammation may go unrecognised by inexperienced parents or primary care medical personnel, leading to delayed treatment. Herein, we present a case series describing ophthalmia neonatorum complicated with neonatal orbital cellulitis owing to delayed treatment. The clinical presentation, management and outcomes are described. One neonate had orbital cellulitis, while the other had impending orbital cellulitis, with both cases resulting from delayed treatment of ophthalmia neonatorum. Both neonates were hospitalised for systemic antibiotic treatment and fully recovered with good outcomes. Timely identification and treatment of ophthalmia neonatorum are critical to mitigate potential severe sequelae, such as neonatal orbital cellulitis.
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spelling doaj.art-464b29ddf0514e64b6b5641206328dc52024-02-07T10:21:29ZengAcademy of Family Physicians of MalaysiaMalaysian Family Physician1985-22742024-01-0119510.51866/cr.438Ophthalmia neonatorum complicated with neonatal orbital cellulitis: A case seriesNgee Ling LawVi Chee TanThiam Hou LimNurul Asyikin RosliOrbital cellulitis is an extremely rare but potentially lethal condition in neonates. The clinical presentation of neonatal orbital cellulitis can be non-specific, and minimal signs of periorbital inflammation may go unrecognised by inexperienced parents or primary care medical personnel, leading to delayed treatment. Herein, we present a case series describing ophthalmia neonatorum complicated with neonatal orbital cellulitis owing to delayed treatment. The clinical presentation, management and outcomes are described. One neonate had orbital cellulitis, while the other had impending orbital cellulitis, with both cases resulting from delayed treatment of ophthalmia neonatorum. Both neonates were hospitalised for systemic antibiotic treatment and fully recovered with good outcomes. Timely identification and treatment of ophthalmia neonatorum are critical to mitigate potential severe sequelae, such as neonatal orbital cellulitis.https://e-mfp.org/wp-content/uploads/19.5.pdfneonatal orbital cellulitisophthalmia neonatorumdelayed treatment
spellingShingle Ngee Ling Law
Vi Chee Tan
Thiam Hou Lim
Nurul Asyikin Rosli
Ophthalmia neonatorum complicated with neonatal orbital cellulitis: A case series
Malaysian Family Physician
neonatal orbital cellulitis
ophthalmia neonatorum
delayed treatment
title Ophthalmia neonatorum complicated with neonatal orbital cellulitis: A case series
title_full Ophthalmia neonatorum complicated with neonatal orbital cellulitis: A case series
title_fullStr Ophthalmia neonatorum complicated with neonatal orbital cellulitis: A case series
title_full_unstemmed Ophthalmia neonatorum complicated with neonatal orbital cellulitis: A case series
title_short Ophthalmia neonatorum complicated with neonatal orbital cellulitis: A case series
title_sort ophthalmia neonatorum complicated with neonatal orbital cellulitis a case series
topic neonatal orbital cellulitis
ophthalmia neonatorum
delayed treatment
url https://e-mfp.org/wp-content/uploads/19.5.pdf
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AT vicheetan ophthalmianeonatorumcomplicatedwithneonatalorbitalcellulitisacaseseries
AT thiamhoulim ophthalmianeonatorumcomplicatedwithneonatalorbitalcellulitisacaseseries
AT nurulasyikinrosli ophthalmianeonatorumcomplicatedwithneonatalorbitalcellulitisacaseseries