Acute Orbital Myositis Mimicking Orbital Cellulitis

Excerpt

Acute orbital myositis is considered a nonspecific orbital inflammatory syndrome and is well described, but relatively rare (1-3). With newer diagnostic imaging techniques, the condition is usually diagnosed easily. Because systemic corticosteroid therapy rapidly reverses the process, acute orbital myositis must be considered in a patient with a suddenly painful proptotic eye. We report the cases of two previously healthy patients, each with an acutely painful, erythematous eye initially thought to be due to orbital cellulitis.

Patient 1, a 31-year-old white woman who was 3 months postpartum, developed right-sided neck pain, sore throat, low-grade fever, and myalgia 2 weeks before

This 100-word excerpt has been provided in the absence of an abstract.

Acknowledgments

Acknowledgments: The authors thank Dr. J.K. Sullivan for referring Patient 2, the audio-visual department at Maine Medical Center for the photography, and Sharon Monn for secretarial assistance.

Article and Author Information

  • From the Maine Medical Center, Portland, Maine. For current author addresses, see end of text.

  • Requests for Reprints: Michael C. Bach, MD, 128 Chadwick Street, Portland, ME 04102.

  • Current Author Addresses: Dr. Bach: Department of Infectious Diseases, Maine Medical Center, Portland, ME 04102.

    Dr. Knowland: Department of Otorhinolaryngology, Maine Medical Center, Portland, ME 04102.

    Dr. Schuyler: Department of Ophthalmology, Maine Medical Center, Portland, ME 04102.

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