Ocular and Periorbital Infections - Duke Pediatrics Intranet

Periorbital and Orbital Cellulitis• Usual agents-– Staph. Aureus and GABHS from skin– Strep pneumo from sinuses, also respiratory aerobes,other anaerobes• No specific data post-PCV7 to show that incidence hasdecreased, but I suspect that it has• No specific data that MRSA has increased incidence, butmaybe• Less common-• HSV-characteristic vesicles should be present• Fungus in immunosuppressed (Zygomycetes are deadly anddeforming!)