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2019, Number 1

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Rev Cubana Pediatr 2019; 91 (1)

Adolescents´ orbital myositis

Delgado QM, Felipe DK, Couce HVM

Language: Spanish
References: 10
Page: 1-9
PDF size: 248.23 Kb.


ABSTRACT

Introduction: Acute orbitary myositis is an inflammatory condition of the extrinsic ocular musculature, often of unknown cause. It is part of a group of non-specific orbital inflammatory conditions encompassed by the term of orbital pseudotumors. It mainly affects young women.
Objective: To describe the case of a teenager with acute orbital myositis which an inflammatory condition not frequent in the pediatric ages.
Case presentation: This is a 14-year-old, mixed-race, female patient, who suffered dengue three times before presenting ocular pain in the left eye, intermittent high fever, intermittent ocular protrusion, vomiting, headache, weakness, loss of weight and appetite. The left eye presents edema of the upper eyelid and limitation in abduction. The extrinsic ocular musculature presented: horizontal diplopia in right to left gaze. The ocular ultrasound informs: cystic image that does not impress to be of hematic content. A computerized axial tomography of the orbit and simple skull was performed, and the result was compatible with the diagnosis of orbital myositis. Immediate treatment with oral steroids was indicated and the patient was sent to the ´´Pando Ferrer´´ Ophthalmology Institute for follow-up.
Conclusion: Orbital myositis requires a high index of suspicion for a correct diagnosis and treatment. Dengue seems to be involved in the etiology of the disease.


REFERENCES

  1. Falero Gallego MP, Verdú Pérez A, Sanz de Tellechea E, Carvajal Alonso-Barajas E, Garde Morales T, Martínez Campos M, et al. Adolescente con inflamación periorbitaria unilateral y diplopía. An Esp Pediatr. 1997;47:83-4. Acceso: 23/01/2018. Disponible en: https://www.aeped.es/sites/default/files/anales/47-1-18.pdf

  2. Yánez García C, Mora Salinas N. Parálisis del nervio oculomotor y miositis orbitaria secundarias a mucocele etmoidal. An Méd. 2009;54(3):170-5. Acceso: 23/01/2018. Disponible en: http://www.medigraphic.com/pdfs/abc/bc-2009/bc093h.pdf

  3. Gutiérrez-Durán F, Padilla-Cuadra JI. Miositis de músculo recto inferior como presentación inicial de vasculitis ANCA positiva, probable Granulomatosis de Wegener (GW). Neuroeje. 2012;25(2). Acceso: 23/01/2018. Disponible en:http://www.binasss.sa. cr/revistas/neuroeje/v25n2/art5.pdf

  4. López González-Cobos C, Villalba García M, Ausín García C, Toledano Macías M, Muiño Míguez A, Maestre Mulas I, et al. IF-051-Pseudotumor inflamatorio orbitario: Revisión de una serie. Rev Clin Esp. 2015;215 (supl espec):626. Acceso: 02/02/2018. Disponible en: http://www.revclinesp.es/controladores/congresos-herramientas.php? idCongreso=21&idSesion=1797&idComunicacion=19692

  5. Jiménez-Morales ML, Gómez-Garza G, Criales-Cortés JL, Mora-Tiscareño MA. Patología orbitaria en la población pediátrica: revisión de hallazgos mediante resonancia magnética. An Radiol Méx. 2015;14:191-208. Acceso: 02/02/2018. Disponible en:http://www.medigraphic.com/pdfs/anaradmex/arm-2015/arm152h.pdf

  6. Martínez López AB, Peinador García M, Huerta Aragoneses J, Ruiz Martín Y. Enfermedad inflamatoria orbitaria idiopática. An Pediatr. 2011;74(5):343-4. Acceso: 08/02/2018. Disponible en: http://www.analesdepediatria.org/es/enfermedad-inflamatoriaorbitaria- idiopatica/articulo/S169540331000531X/

  7. Iceta González I, Martínez Piñero A, Álvarez Argüelles H, Abreu González R, Abreu Reyes JA. Pseudotumor orbitario: un dilema diagnóstico. Arch Soc Canar Oftalmol. 2000;11:83-6. Acceso: 17/02/2018. Disponible en: http://sociedadcanariadeoftalmologia. com/wp-content/revista/revista-11/11sco17.pdf

  8. Brent H, Sidlow R. Orbital Myositis. A Case Reportand Review of the Literature. Clinic Pediatr. 2016;56(4):385-8. Access: 2018/02/28. Available at: http://journals.sagepub. com/doi/abs/10.1177/0009922816660692?journalCode=cpja

  9. Sriram P, Banupriya K, Mahalaskhmy K, Srinivasan S. Clinically Profiling Pediatric Patients with Dengue. J Glob Infect Dis. 2016;8(3):115-20. Access: 2018/02/24. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4997795/

  10. Finsterer J, Loscher WN, Wanschitz J, Quasthoff S, Grisold W. Secondary myopathy due to systemic diseases. Acta Neurol Scandinav. 2016;134(6):388-402. Access: 2018/02/24. Available at: https://onlinelibrary.wiley.com/doi/full/10.1111/ane.12576




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