Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus
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To identify risk factors in children admitted with preseptal or orbital cellulitis with associated intracranial infection. ⋯ Intracranial involvement should be suspected in any patient age > or = 7 years with preseptal or orbital cellulitis associated with orbital subperiosteal abscess, Pott's puffy tumor, concurrent sinusitis, complaints of headache, and continuing fever despite intravenous antibiotics. Given the high incidence of polymicrobial infection found on cultures in this series, broad-spectrum antibiotics are strongly indicated. When imaging the orbits and sinuses in such patients, we recommend including the brain to rule out intracranial involvement.