A child with refractory orbital cellulitis after water pipe smoking

Dhabiah S AlQahtani; Mohammed A Alsaif; Naif AlSulaiman; Adel H Alsuhaibani

doi:10.4103/SJOPT.SJOPT_24_21

A child with refractory orbital cellulitis after water pipe smoking

Saudi J Ophthalmol. 2021 Nov 17;35(3):261-262. doi: 10.4103/SJOPT.SJOPT_24_21. eCollection 2021 Jul-Sep.

Authors

Dhabiah S AlQahtani¹, Mohammed A Alsaif², Naif AlSulaiman², Adel H Alsuhaibani²

Affiliations

¹ King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
² Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

Abstract

Orbital cellulitis in children rarely occurs secondary to smoking water pipe. A 3-year-old girl who presented with fever, eyelid swelling, pain, and proptosis of the left eye for 4 days after water pipe consumption. The patient was given the usual course of antibiotics for a few days along with subperiosteal abscess drainage however no improvement was noticed for a week. Cultures were positive for methicillin-resistant Staphylococcus aureus and pseudomonas aeruginosa. Intravenous dexamethasone was co-administered in three courses for 3 weeks, during which residual symptoms was slowly resolving. In conclusion, attempt of dexamethasone in children can shorten hospital stay and augment full recovery.

Keywords: Children; orbital cellulitis; refractory; smoking; water pipe.

Publication types

Case Reports