{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:40:03Z","timestamp":1756291203209,"version":"3.44.0"},"reference-count":20,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,6,19]]},"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:p>This article discusses a rare ophthalmic manifestation of neonatal bacterial infection and its management, including surgical drainage. The case discussed is that of a neonate who presented with rapidly progressing ophthalmic symptoms suggestive of orbital cellulitis. The neonate also had extensive intracranial involvement and had spread to contiguous structures causing a temporal lobe abscess. As there was no local injury, a haematogenous spread was strongly considered. With blood culture and pus culture yielding the growth of <jats:italic>Staphylococcus aureus<\/jats:italic>, systemic antibiotics and surgical interventions were required to successfully manage the neonate. Through this case report, we emphasise that orbital infections are grave in neonates and may culminate into devastating intracranial complications; hence, it necessitates appropriate medical and surgical interventions right from hospital admission.<\/jats:p>","DOI":"10.1136\/bcr-2022-252390","type":"journal-article","created":{"date-parts":[[2023,7,25]],"date-time":"2023-07-25T12:55:24Z","timestamp":1690289724000},"page":"e252390","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Overwhelming orbital cellulitis in a neonate"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7605-0480","authenticated-orcid":false,"given":"Venu","family":"Kulkarni","sequence":"first","affiliation":[{"name":"Paediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Venkataseshan","family":"Sundaram","sequence":"additional","affiliation":[{"name":"Paediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tadepalli Haripriya","family":"Sameeksha","sequence":"additional","affiliation":[{"name":"Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,7,25]]},"reference":[{"key":"2025082703225625000_16.7.e252390.1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.3626.14"},{"key":"2025082703225625000_16.7.e252390.2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197009000-00007"},{"key":"2025082703225625000_16.7.e252390.3","doi-asserted-by":"publisher","DOI":"10.1097\/01.inf.0000227820.36036.f1"},{"key":"2025082703225625000_16.7.e252390.4","doi-asserted-by":"crossref","first-page":"175","DOI":"10.4103\/jovr.jovr_199_17","article-title":"Common orbital infections \u223c state of the art \u223c part I","volume":"13","author":"Hamed-Azzam","year":"2018","journal-title":"J Ophthalmic Vis Res"},{"key":"2025082703225625000_16.7.e252390.5","doi-asserted-by":"crossref","first-page":"e63","DOI":"10.1111\/ped.12020","article-title":"Neonatal orbital abscess","volume":"55","author":"Lin","year":"2013","journal-title":"Pediatr Int"},{"key":"2025082703225625000_16.7.e252390.6","first-page":"94","article-title":"Imaging of orbital cellulitis in children: about 56 cases","volume":"30","author":"Basraoui","year":"2018","journal-title":"Pan Afr Med J"},{"key":"2025082703225625000_16.7.e252390.7","doi-asserted-by":"crossref","unstructured":"Cruz A . \"Neonatal orbital abscess,\" vol. 6420, no. 01; 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