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Arzu Kovanlikaya, MD; Marvin D. Nelson, Jr, MD; A. Linn Murphree, MD

Arch Pediatr Adolesc Med. 1996;150(8):873-874.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

AN 18-MONTH-OLD child presented to the emergency department with a 5-day history of right orbital cellulitis (Figure 1) and tugging on the pinna of the right ear. By physical examination the child's temperature was 38°C, the right eyelid and conjunctivae were swollen and protuberant, and there was otitis media.

The child's pupils were not dilated, and the fundi were not well seen owing to the patient's eye movements. The patient had been seen at another hospital 3 days before and was treated with oral antibiotics for orbital cellulitis; however, the swelling of the right eye continued and the child was admitted for intravenous antibiotic treatment. Consultation with an ophthalmologist was obtained followed by a computed tomographic scan of the orbits (Figure 2).

Denouement and Discussion

Retinoblastoma Presenting With Orbital Cellulitis

Retinoblastoma is the most common intraocular malignancy of childhood. Although the initial symptoms are variable, a majority of patients (60%) . . . [Full Text PDF of this Article]

Author Affiliations
From the Departments of Radiology and Ophthalmology, Childrens Hospital Los Angeles, University of Southern California School of Medicine, Los Angeles.

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