Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2019, Vol. 33 ›› Issue (6): 41-44.doi: 10.6040/j.issn.1673-3770.0.2019.505

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A child with acute rhinosinusitis, acute glomerulonephritis and an orbital abscess: case report

ZHU Luping, CHEN Juan, ZHU Lei, CHEN Renjie   

  1. Department of Otolaryngology, The Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011, Jiangsu, China
  • Online:2019-11-20 Published:2019-12-23

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Abstract: Acute rhinosinusitis is an acute infection of the mucous membrane in the nasal cavity and sinus that results in inflammation. The nasal sinus is adjacent to the orbit anatomically, which makes it easy for a sinus infection to break through the anatomical barrier into the orbit. Due to antibiotics being widely used, this does not commonly occur. However, in children with a weakened immune system, it can result in orbital cellulitis and an orbital abscess. However, glomerulonephritis is a very rare complication. In this case report, we report a child with acute rhinosinusitis accompanied with acute glomerulonephritis and an orbital abscess. We also discuss our diagnosis and treatment process for the case.

Key words: Children, Acute rhinosinusitis, Glomerulonephritis, Orbital abscess, Complication.

CLC Number: 

  • R765.4+1
[1] 中华耳鼻咽喉头颈外科杂志编辑委员会,中华医学会耳鼻咽喉头颈外科学分会小儿学组、鼻科学组.儿童鼻—鼻窦炎诊断和治疗建议(2012年,昆明)[J]. 中华耳鼻咽喉头颈外科杂志, 2013,48(3):177-179.
[2] 马晶影, 周兵, 黄谦, 等. 小儿急性鼻窦炎合并眶蜂窝织炎1例[J]. 临床耳鼻咽喉科杂志, 2006, 20(24): 1149. doi: 10.3969/j.issn.1001-1781.2006.24.023.
[3] 祝青萍, 万玉柱. 儿童急性鼻窦炎眶并发症的临床表现及治疗[J]. 山东大学耳鼻喉眼学报, 2017, 31(1): 91-94. doi: 10.6040/j.issn.1673-3770.0.2016.195. ZHU Qingping, WAN Yuzhu. Clinical manifestation and treatment of orbital complications following acute rhinosinusitis in children[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2017, 31(1): 91-94. doi: 10.6040/j.issn.1673-3770.0.2016.195.
[4] 葛均波, 徐永健. 内科学[M]. 北京: 人民卫生出版社, 2013.
[5] Sultész M, Csákányi Z, Majoros T, et al. Acute bacterial rhinosinusitis and its complications in our pediatric otolaryngological department between 1997 and 2006[J]. Int J Pediatr Otorhinolaryngol, 2009, 73(11): 1507-1512. doi:10.1016/j.ijporl.2009.04.027.
[6] 乔怡歆, 杜进涛, 邓迪, 等. 儿童急性鼻窦炎合并严重颅内并发症2例[J]. 临床耳鼻咽喉头颈外科杂志, 2018, 32(21): 1672-1673, 1678. doi:10.13201/j.issn.1001-1781.2018.21.016 QIAO Yixin, DU Jintao, DENG Di, et al. Acute sinusitis in children with severe intracranial complications: two cases report[J]. J Clin Otorhinolaryngol Head Neck Surg, 2018, 32(21): 1672-1673, 1678. doi:10.13201/j.issn.1001-1781. 2018.21.016.
[7] 许庚, 李源. 儿童慢性鼻窦炎手术治疗的思考与临床诊疗指引[J]. 中华耳鼻咽喉科杂志, 2003, 38(4): 241-242. doi: 10.3760/j.issn:1673-0860.2003.04.001.
[8] 程光辉, 赵林, 李宁东. 鼻内镜手术致眼肌损伤临床特点及治疗方法[J]. 中华实验眼科杂志, 2019, 37(5): 368-370. doi: 10.3760/cma.j.issn.2095-0160.2019.05.010.
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