A patient is described with an orbital fistula complicating frontal sinusitis and osteomyelitis of the frontal bone. The fistula was excised, but a fortnight later an acute exacerbation occurred. From the discharging pus a Staphylococcus aureus was cultured and from mucosa obtained during surgery a microaerophilic Streptococcus. These findings led to the diagnosis: synergistic bacterial inflammation of the frontal sinus, with osteomyelitis and orbital cellulitis.

anaerobic infection, orbital cellulitis, sinusitis
dx.doi.org/10.1007/BF01675873, hdl.handle.net/1765/40536
Documenta Ophthalmologica
Department of Ophthalmology

Simonsz, H.J, Peeters, H.J.F, & Bleeker, G.M. (1982). An orbital fistula complicating anaerobic frontal sinusitis and osteomyelitis . Documenta Ophthalmologica, 52(3-4), 409–414. doi:10.1007/BF01675873