儿童急性鼻窦炎合并肾小球肾炎及眶内脓肿一例

A child with acute rhinosinusitis, acute glomerulonephritis and an orbital abscess: case report

急性鼻窦炎是鼻腔鼻窦黏膜的急性感染性炎症。鼻窦在解剖上毗邻眼眶,鼻窦急性感染可能突破解剖屏障向眶内发展。因抗生素普遍使用,鼻窦炎眶内并发症较少见,但仍可见于抵抗力低下的儿童出眶内蜂窝织炎,甚至形成眶内脓肿,但同时并发肾小球肾炎的情况较为罕见。现报道急性鼻窦炎并发肾小球肾炎及眶内脓肿1例,简述其多学科诊治过程。

Acute rhinosinusitis is an acute infection of the mucous membrane in the nasal cavity and sinus that results in inflammation.The nasal sinus is adjacent to the orbit anatomically,which makes it easy for a sinus infection to break through the anatomical barrier into the orbit.Due to antibiotics being widely used,this does not commonly occur.However,in children with a weakened immune system,it can result in orbital cellulitis and an orbital abscess.However,glomerulonephritis is a very rare complication.In this case report,we report a child with acute rhinosinusitis accompanied with acute glomerulonephritis and an orbital abscess.We also discuss our diagnosis and treatment process for the case.