Complicações orbitárias de sinusite aguda em Pediatria: experiência de oito anos

Objectives: Acute sinusitis accounts for up to 82% of orbital infection cases. Infection spreads very quickly, especially through the ethmoid sinus, and orbital complications may arise even under antibiotic therapy. The aim of this study was to describe an 8-year hospital experience with these children. Methods: All cases of acute sinusitis with orbital complications admitted to the Department of Otorhinolaryngology of Centro Hospitalar e Universitário de Coimbra between 2010 and 2017 were retrospectively reviewed. Results: Sixty-four patients met the inclusion criteria, with a mean age of 9 ± 4.7 years. Male:female ratio was 1.67:1. Most subjects were admitted in the winter period (57.8%), with 2.9 ± 2.5 days of clinical evolution. The mean Lund Mackay score was 10.6 ± 4.9, with maxillary and ethmoid being the most prevalent involved sinuses (96.4% and 94.6%, respectively), and was inversely correlated with age (p<0.05). Preseptal cellulitis was the most common complication (56.3%). Abscesses were identified in 18.7% of patients, but only four (6.25%) required surgery. Seven cases (10.9%) recurred shortly after hospital discharge and required prolonged antibiotic course. All patients recovered well, without further complications. Conclusion: Results showed that orbital complications of sinusitis respond well to high doses of endovenous antibiotherapy and patients tend to recover without local comorbidities. Close monitoring of these patients during the first months after hospital discharge is crucial to prevent early relapse.info:eu-repo/semantics/publishedVersio

Síndrome de Susac. Causa rara de surdez neurossensorial

Susac sydrome (SS) is a rare disease of unknown ethiology. It was first described by John O. Susac in 1979. It is caused by a microangiopathy affecting the arterioles of the brain, retina and cochlea, giving the classical traid of subacute encephalopathy, visual loss and sensorineural hearing loss. The purpose of this article is to present a case report of SS and made a review of the literatureO Síndrome de Susac (SS) é um síndrome raro de etiologia desconhecida. Foi descrito pela primeira vez por John O. Susac em 1979 e caracteriza-se por uma microangiopatia que afecta as arteríolas do cérebro, retina e cóclea, constituindo a tríade clínica clássica de encefalopatia subaguda, défice visual e surdez. Apresentamos o caso clínico de uma doente com SS e fazemos uma revisão da literatura acerca do mesmo