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Case Report
Exteriorized acute ethmoiditis in a rural child: A case report
1 Department of ORL, University of Kinshasa, Kinshasa, Democratic Republic of the Con
2 Department of Family Medicine and Primary Health Care, Protestant University in Congo, Kinshasa, Democratic Republic of the Con
3 Pharmacovigilance Unit, University of Kinshasa, Kinshasa, Democratic Republic of the Con
4 Departmen of ORL, University of Lubumbashi, Lubumbashi, Democratic Republic of the Con
5 Department of Pediatrics, Kongo University, Kimpese, Democratic Republic of the Con
Address correspondence to:
Aliocha N Nkodila
Department of Family Medicine and Primary Health Care, Protestant University in Congo, Kinshasa,
Democratic Republic of the Con
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Article ID: 101424Z01TM2023
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Mpengani T, Nkodila AN, Lema G, Ngale M, Kainda L, Mbala C, Matanda RN, Sokolo JG. Exteriorized acute ethmoiditis in a rural child: A case report. Int J Case Rep Images 2023;14(2):123–127.ABSTRACT
Introduction: Acute ethmoiditis (AE) in children mainly concerns the ethmoid sinus. It is often diagnosed after its externalization. It is a serious infection, whose ocular and endocranial complications can jeopardize the visual and vital functional prognosis. The treatment is essentially medical based on the combination of antibiotics.
Case Report: Description of a case of ethmoiditis in a 3-year-old child consulting for eyelid edema that progressed within five days. The general condition was altered by a fever of 38.5°C, with an unwell appearance and left eyelid edema with a tendency to reduction of the eyelid fissure was noted. The ear, nose, throat (ENT) examination showed left perinasal swelling affecting the nasal pyramid, the zygomatic arch, and the left periorbital region. The left nasal cavity was of reduced caliber with the presence of mucopurulent secretions through the ipsilateral nostril orifice. Acute externalized ethmoiditis was made as a clinical diagnosis. The clinical evolution was good under antibiotic therapy for 15 days with parenteral ceftriaxone which will be relayed by amoxi-clavulanic ac orally on the seventh day; parenteral metronidazole with a PO relay on the fifth day; parenteral dexamethasone and paracetamol for five days; argyrol nasally for seven days.
Conclusion: Acute ethmoiditis remains an infantile pathology with multiple neighborhood and remote complications, including periorbital and endocranial cellulitis involving vital and visual prognosis.
Keywords: Acute ethmoiditis, Child, Externalized
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Acknowledgments
We thank all who participated in the study. Funding: This research received no external funding.
Author ContributionsThierry Mpengani - Substantial contributions to conception and design, Acquisition of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Aliocha N Nkodila - Substantial contributions to conception and design, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Gabriel Lema - Acquisition of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Mireille Ngale - Acquisition of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Lydie Kainda - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Charles Mbala - Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Richard N Matanda - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Jérôme G Sokolo - Substantial contributions to conception and design, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Thierry Mpengani et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
