Infected Nasal Dermoid Cyst/Sinus Tract Presenting With Bilateral Subperiosteal Supraorbital Abscesses: The Midline Nasal Tuft of Hair, an Overlooked Finding

Ophthalmic Plast Reconstr Surg. 2018 Jan/Feb;34(1):e31-e34. doi: 10.1097/IOP.0000000000001000.

Abstract

This case is, to the authors' knowledge, the first reported case in the literature of bilateral orbital abscesses as result of an infected nasal dermoid. The baby presented with what proved to be bilateral supraorbital subperiosteal abscesses with associated frontal osteitis/osteomyelitis and soft tissue infection of the glabella. Methicillin-sensitive staphylococcus aureus infection was found in the setting of a midline nasal dermoid with tuft of hair and infected sinus tract that was at least initially missed on diagnosis.

Publication types

  • Case Reports

MeSH terms

  • Abscess / diagnosis
  • Abscess / etiology*
  • Abscess / microbiology
  • Choristoma / complications*
  • Choristoma / diagnosis
  • Dermoid Cyst / complications*
  • Dermoid Cyst / diagnosis
  • Eye Infections, Bacterial / diagnosis
  • Eye Infections, Bacterial / etiology*
  • Eye Infections, Bacterial / microbiology
  • Hair*
  • Humans
  • Infant
  • Magnetic Resonance Imaging
  • Male
  • Nose Diseases / complications*
  • Nose Diseases / diagnosis
  • Staphylococcal Infections / diagnosis
  • Staphylococcal Infections / etiology*
  • Staphylococcal Infections / microbiology
  • Staphylococcus aureus / isolation & purification
  • Tomography, X-Ray Computed