EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (Under Process) , 

 ISSN 2394-3211

Impact Factor: 4.897

 ICV - 79.57

Abstract

PRESEPTAL CELLULITIS. CLINICAL CASE WITH LABORATORY DIAGNOSIS

Cudberto U. Contreras-Pérez, Mónica G. Viveros-Terrazas and José D. Méndez*

ABSTRACT

We present a pediatric case of preseptal cellulitis in a 13-year-old girl with probable hematogenous spread from a primary focus. The diagnosis established by two specialists was acute conjunctivitis. The initial treatment with ampicillin sulbactam did not have a favorable response. Due to the severity of the infection, an empirical treatment was established with lincomycin, an antibiotic that maintains therapeutic plasma concentrations against most Gram+ microorganisms. The scheme was complemented with clindamycin, based on the results of the antibiogram. The combination of the two lincosamides, one injectable (i. m.) and the other oral, showed excellent response and clinical healing was obtained at 12 days. In these patients, an adequate and timely clinical assessment is essential to establish a reliable clinical diagnosis. Laboratory studies are determinant and must be done before starting treatment. The quality of the sample involves a correct microbiological procedure. The culture, identification and antibiogram of the microorganism involved in the lesions, is necessary to continue or modify the treatment. It is important the collaboration between the clinician and the laboratory to keep a good follow-up of these cases, to avoid serious complications and speed up the therapeutic decisions if necessary.

Keywords: Preseptal cellulitis, Staphylococcus aureus, Clindamycin, Lincomycin, Chloramphenicol.


[Full Text Article]

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (Under Process)