Periocular Swelling, Fever, and Organomegaly in a 4-Year-Old Child

A child aged 4 years presented with a 3-day history of worsening redness, pain, and swelling over the left lower eyelid and nose. Visual acuity was normal, and systemic examination revealed cervical lymphadenopathy and hepatosplenomegaly. The patient showed no improvement after 3 days of intravenous ceftriaxone, and a computed tomography scan showed a collection in the lacrimal sac. What would you do next?

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Publication Details

Journal
JAMA Ophthalmology
Published
2024-10-03
DOI
https://doi.org/10.1001/jamaophthalmol.2024.3871
Citations
2
Primary Topic
Nasolacrimal Duct Obstruction Treatments
Type
article
Field-Weighted Citation Impact
1.08
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article

Periocular Swelling, Fever, and Organomegaly in a 4-Year-Old Child

Yarrow Scantling‐Birch, Miles Kiernan
2 citations
JAMA Ophthalmology
Nasolacrimal Duct Obstruction Treatments
1.08
article

Periocular Swelling, Fever, and Organomegaly in a 4-Year-Old Child

Yarrow Scantling‐Birch, Miles Kiernan
article en
2 citations

Abstract

A child aged 4 years presented with a 3-day history of worsening redness, pain, and swelling over the left lower eyelid and nose. Visual acuity was normal, and systemic examination revealed cervical lymphadenopathy and hepatosplenomegaly. The patient showed no improvement after 3 days of intravenous ceftriaxone, and a computed tomography scan showed a collection in the lacrimal sac. What would you do next?

JAMA OphthalmologyVol. 142(11)
North Middlesex Hospital (GB), Middlesex University London (GB)
Good health and well-being
Openalex Percentile: Top 22%
Nasolacrimal Duct Obstruction Treatments
1.08
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