Periorbital Cellulitis: An Educational Image and Mini-Review

Advisor Doctor and Expert Trainer, Baghdad Medical City and Iraqi Ministry of Health Baghdad, Iraq

*Corresponding Author: Aamir Jalal Al-Mosawi, Advisor Doctor and Expert Trainer, Baghdad Medical City and Iraqi Ministry of Health Baghdad, Iraq, Email: [email protected]

Received Date: July 21, 2025

Published Date: September 17, 2025

Citation: Al-Mosawi AJ. (2025). Periorbital Cellulitis: An Educational Image and Mini-Review. Mathews J Pediatr. 10(2):44.

Copyrights: Al-Mosawi AJ. © (2025).

ABSTRACT

Periorbital cellulitis (Preseptal cellulitis) is inflammation of the eyelid and surrounding tissues, often resulting from bacterial infections. This condition typically presents with erythema, swelling, and mild ptosis without signs of orbital involvement, such as proptosis or ophthalmoplegia, which distinguishes it from orbital cellulitis. This report presents a case of periorbital cellulitis in a 6-year-old boy with a history of upper respiratory infection and no trauma. The child was successfully treated with azithromycin, given his suspected penicillin allergy. A review of the literature reveals various pathogens associated with periorbital cellulitis, with age and clinical context influencing the likely causative bacteria. Staphylococcus aureus remains a dominant pathogen, but Hemophilus influenzae is common in younger children, particularly those with concurrent upper respiratory infections. The case highlights the importance of clinical evaluation and appropriate antibiotic selection based on the patient’s history and clinical presentation.

Keywords: Periorbital Cellulitis, Educational Article, Azithromycin.