Özet:

Rinosinitis is a common infection and can rarely lead to serious orbital and intrakranial complications that threaten life. In our study, two phenomena that develop the preseptal cellulite and menenjite association as a rinosinitis complication have been presented accompanied by literary data. Case 1: 9 years old, 2 months old girl was brought with a flame, redness and swelling in the left. In the physical examination there was advanced erythema in the left lower and upper eyelid, swelling, eye movements were painless and normal in all directions. System examinations were normal, there were no signs of meningeal irritation. As a result of the magnetic resonance (MR) imaging, rinosinuzite, which contains preseptal cellulite, etmoid, frontal and sfenoid sinuses, detected a dural meningeal contrast retention in the left brain hemisphere. The patient was diagnosed with menenjitis as a result of the lombary ponction process. The patient was removed after 14 days of appropriate antibiotic treatment. Fact 2: 8 years old, 5 months old boy, was brought with a flame of fire, redness and swelling in the left. In the lower and upper left eyelids there was erythema and swelling. The system examinations were normal, there were no signs of meningial irritation. The computer sinus tomography identified the findings of pansinisitis and preseptal cellulite. In the orbital MR imaging of the patient who continued the fever under treatment, erythema and swelling in the eye, considering complications, a contrast retention in the left frontal area was observed. The patient was diagnosed with menenjitis as a result of the Lomber ponction procedure. The patient was removed after 14 days of appropriate antibiotic treatment. The result: Intracranial complications due to preseptic sinusitis are seen as rare but can threaten life. In these cases, we recommend that MR be preferred as a radio-visualization method. (SETB-2019-06-092)

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