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Neonatal orbital swelling due to intracranial teratoma
  1. Wen Shen Looi1,
  2. David Chyi Yeu Low2,
  3. Sharon Yin Yee Low2,
  4. Si Hui Goh3
  1. 1 Department of Radiation Oncology, National Cancer Centre Singapore, Singapore, Singapore
  2. 2 Neurosurgical Service, KK Women’s and Children’s Hospital, Singapore, Singapore
  3. 3 Department of Paediatric Medicine, KK Women’s and Children’s Hospital, Singapore, Singapore
  1. Correspondence to Dr Wen Shen Looi, Radiation Oncology, National Cancer Centre Singapore, Singapore 169610, Singapore; looi.wen.shen{at}nccs.com.sg

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A 2-week-old girl with uncomplicated birth history presented with 2 days of left eye swelling and 1 day of fever. Physical examination showed left ptosis, periorbital swelling and subtle proptosis (figure 1). Investigations revealed a raised blood leucocyte count of 24.89×10(9)/L. Cerebrospinal fluid (CSF) analysis showed red blood cell 25/μL, white blood cell 3003/μL and CSF:blood glucose ratio 0.48. Clinical impression was acute bacterial meningitis with left orbital cellulitis. She was treated with intravenous antibiotics …

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