DR.PRASENJIT KALITA

DR. MANJIT BORO, Dr.Jyoti Bhuyan, DR. ANKITA GOGOI

Abstract

A 55-year diabetic male presented with swelling of the left side of the face involving left eye with diminution of vision and poor glycemic control. VA in bedside was CF 3m and funduscopic examination there was papilledema. Clinical examination disclosed orbital cellulitis and left sided ostiomeatal sinusitis confirmed on MRI. Klebsiella pneumoniae was isolated from pus and culture sensitivity & Coagulase negative Staphylococci from blood culture .The case has been diagnosed as ostiomeatal sinusitis as the primary source of infection from ENT department. Vigorous treatment with intravenous antibiotic therapy, anti-inflammatory drugs, topical eyedrops and ointment, along with insulin therapy improved the general condition of the patient. However, the VA after 7 days was PL negative and optic atrophy in funduscopy. Thus, Ostiomeatal sinusitis causing orbital cellulitis may lead to blindness. Therefore, early diagnosis and treatment may salvage the vision.

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