Acute Orbital Myositis Mimicking Orbital Cellulitis
Authors: Michael C. Bach
Journal: Annals of Internal Medicine (1988)

Brief Reports1 August 1988Acute Orbital Myositis Mimicking Orbital CellulitisMichael C. Bach, MD, Michael Knowland, MD, Walter B.J. Schuyler, MDMichael C. Bach, MDSearch for more papers by this author, Michael Knowland, MDSearch for more papers by this author, Walter B.J. Schuyler, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-109-3-243 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAcute 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...References1. JacobiecJones FI. Orbital inflammation. In: Duane TD, ed. Clinical Ophthalmology. Philadelphia: Harper and Row; 1981:1-8. Google Scholar2. NugentRootmanRobertsonLapointHarrison RJWJP. Acute orbital pseudotumors: classification and CT features. AJR. 1981;137:957-62. CrossrefMedlineGoogle Scholar3. KennerdellDresner JS. The non-specific orbital inflammatory syndromes. Surv Ophthalmol. 1984;29:93-103. CrossrefMedlineGoogle Scholar4. Birch-Hirschfeld A. Zur Diagnostik und Pathologie der Orbitaltumoren. Ber Deutsch Ophth Ges. 1905;32:127-35. Google Scholar5. TrokelHilal SS. Recognition and differential diagnosis of enlarged extraocular muscles in computed tomography. Am J Ophthalmol. 1979;87:503-12. CrossrefMedlineGoogle Scholar6. HarrQuencerAbrams DRG. Computed tomography and ultrasound in the evaluation of orbital infection and pseudotumor. Radiology. 1982;142:395-401. CrossrefMedlineGoogle Scholar7. EnzmannDonaldsonMarshallKriss DSWJ. Computed tomography in orbital pseudotumor (idiopathic orbital inflammation). Radiology. 1976;120:597-601. CrossrefMedlineGoogle Scholar8. BernardinoZimmermanCitrinDavid MRCD. Scleral thickening: a CT sign of orbital pseudotumor. AJR. 1977;129:703-6. CrossrefMedlineGoogle Scholar9. CassanDivertieHollenhorstHarrison SMRE. Pseudotumor of the orbit and limited Wegener's granulomatosis. Ann Intern Med. 1970;72:687-93. LinkGoogle Scholar10. PurcellTaulbee JW. Orbital myositis after upper respiratory tract infection. Arch Ophthalmol. 1981;99:437-8. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: Michael C. Bach, MD; Michael Knowland, MD; Walter B.J. Schuyler, MDAffiliations: From the Maine Medical Center, Portland, Maine. For current author addresses, see end of text. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byA case of orbital myositis secondary to orbital cellulitis in a childMyosite orbitaire idiopathiqueThyroid Eye DiseaseAcute orbital myositis: case reportIdiopathic orbital myositis: treatment with cyclosporin. 1 August 1988Volume 109, Issue 3Page: 243-245KeywordsCellulitisImaging techniquesInfectious diseasesMuscular dystrophiesMyalgiaMyositisOphthalmologyOtorhinolaryngologyPharyngitisPhotography ePublished: 1 December 2008 Issue Published: 1 August 1988 PDF downloadLoading ...