Patient H.W (5 years old, Chinese nationality, living in Ho Chi Minh City) had a mild fever and headache. The family thought the child had just a common cold, so they treated him at home. However, after only three days, the baby's left eye was unusually swollen, the eyeballs were wide open, causing the family to panic and take their child to FV Hospital.
Through clinical examination, the doctors found that the same-life reflex of the child no longer responded, and the signs of damage were very severe. If not intervened promptly, it can lead to optic nerve compression, even complete loss of vision.
Doctor Vo Le Khanh Hung - Department of Ophthalmology & Refractive Surgery, FV Hospital said that the child had an eye drops due to multi-resistant yellow spothiasis, the cause of which started from the child's sinusitis. infection located near the central nervous system and can spread to the meninges, causing encephalitis, loss of vision or death.
FV Hospital held an interdisciplinary consultation and agreed that if only antibiotic treatment was used, it would waste time, so immediate surgical intervention was needed.
Doctor Bui Thi Bich Hanh, Department of Infectious Diseases, FV Hospital, said: In a case of soft tissue abs or eye-catching abs, drainage of the abs is completely a vital factor. Otherwise, antibiotics will have difficulty seeping into the infected area, causing treatment to take a long time without effectiveness.
The team decided to perform an outlet drainage surgery combined with a duct surgery on the same day, both to detoxify the duct and thoroughly treat the source of infection because if allowed to continue, the infection could spread to the ducts of the cave and brain-brain veins, endangering their lives.
On September 4, the surgery took place in coordination between doctors from the Department of Ophthalmology, ENT and the Nhi anesthesia and resuscitation team. Doctors drilled the outer eyelid, removed all the pus, and cleared the eye branch. After that, the ENT doctor did a drill of the entire left jawline, opening the airway between the tubes and the eye branch to avoid recurrence.
The vehicle's Voltage Control Center is located very close to the brain area, just a small mistake can cause encephalitis and cause the patient to die. We have to perform the operations very meticulously and carefully, Dr. Vo Le Khanh Hung shared.
The surgery lasted nearly 2 hours, the surgical team successfully resolved the pus in the eye cavity and treated the infection in the duodenum for the child.
After a few days, the child was stopped receiving vein infusion, only took oral medication and was monitored for outpatient treatment. Thus, the infection was successfully controlled.
Dr.BS. Vo Cong Minh, Head of the ENT Department, FV Hospital warned: When children have rhinitis, severe sore throat, prolonged fever, fatigue or swelling in the face or around the eyes, they need to be taken to the doctor immediately. If the disease does not improve after a few days, do not wait for it to recover on its own, because acute sinusitis can cause many serious complications or become chronic.
