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July 1976

Sinusitis and Periorbital Infections Complicating Infectious Mononucleosis

Author Affiliations

Departments of Pediatrics and Pathology University of Texas Health Science Center 7703 Floyd Curl Dr San Antonio, TX 78284
University of Oregon Health Science Center Portland, OR 97201

Am J Dis Child. 1976;130(7):777. doi:10.1001/archpedi.1976.02120080099010

Ocular complications associated with infectious mononucleosis include edema, photophobia, muscle pain, muscle weakness, and conjunctivitis.1 To our knowledge, periorbital cellulitis associated with this disease has not been reported. We now describe a patient with periorbital cellulitis, dacryocystitis, and sinusitis complicating infectious mononucleosis.

Report of a Case.—An 8-year-old girl was in her usual state of good health until six days prior to her hospitalization. At that time, she became febrile to 39.2 C and complained of malaise. There was a purulent discharge from the right eye, and the eyelids were tender and slightly swollen. Her local physician made a diagnosis of sinusitis and prescribed orally given penicillin G potassium and topically administered neomycin sulfate.

However, the periorbital swelling increased until the eye became occluded and quite painful. Tonsillar swelling developed and cervical lymphadenopathy was noted. She was then admitted to a community hospital where she was given ampicillin trihydrate orally,

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