Orbital myositis following streptococcal pharyngitis in a pediatric patient.
Orbital myositis following streptococcal pharyngitis in a pediatric patient.
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DOI：
10.1016/s1529-1839(05)70300-6
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发表时间：
2005-04-01
期刊：
影响因子：
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通讯作者：
Culligan, Brian
中科院分区：
文献类型：
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作者：
Culligan, Brian
背景：眼眶肌炎是一种相对罕见的眼部炎症性疾病。它目前被归类为特发性眼眶炎性疾病，但与眼部和全身性疾病相关，包括巩膜炎、类风湿性关节炎、克罗恩病和系统性狼疮性肾炎。眼眶肌炎也与感染性疾病，如链球菌性咽炎，病毒性上呼吸道感染，伯氏疏螺旋体infection.Case报告和讨论：本报告记录治疗和成像的一个13岁的男孩谁有一个发作的右侧眼眶肌炎后，链球菌性咽炎与抗链球菌溶血素-O（阿索）滴度升高到1,188 IU/ml。临床上，该患者表现出右眼外直肌明显受限和轻度活动不足的急性发作。计算机断层扫描显示外直肌和内直肌增厚。轻度眼眶肌炎以口服非甾体抗炎药治疗。非共同性斜视在初次就诊后约7周消退。一般眼眶炎性疾病的管理和协会的上呼吸道感染与眼眶肌炎discussed.CONCLUSION：眼眶肌炎是一个独特的临床实体，链球菌上呼吸道感染后，可能会发生，包括疼痛的眼球运动，局部肿胀，限制性斜视，和炎症的迹象，涉及肌肉（S）。
BACKGROUND: Orbital myositis is a relatively rare ocular inflammatory disease. It is currently classified as an idiopathic orbital inflammatory disease, but has been associated with ocular and systemic disorders, including scleritis, rheumatoid arthritis, Crohn's disease, and systemic lupus erythematosis. Orbital myositis has also been associated with infectious disease such as streptococcal pharyngitis, viral upper respiratory infection, and Borrelia burgdorferi infection.CASE REPORT AND DISCUSSION: This report documents treatment and imaging of a 13-year-old boy who had an episode of right-sided orbital myositis following streptococcal pharyngitis with anti-streptolysin-o (ASO) titer elevation to 1,188 IU/ml. Clinically, this patient demonstrated acute onset of marked restriction and mild under-action of the lateral rectus muscle of the right eye. Thickening of the lateral and medial recti was demonstrated on computed tomography. The mild orbital myositis was treated with oral nonsteroidal anti-inflammatory drug therapy. The nonconcomitant strabismus resolved approximately 7 weeks after initial presentation. General orbital inflammatory disease management and the association of upper respiratory tract infection with orbital myositis are discussed.CONCLUSION: Orbital myositis is a distinct clinical entity that can occur after streptococcal upper respiratory infection, consisting of pain on ocular movement, localized swelling, restrictive strabismus, and inflammatory signs of the involved muscle(s).