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Orbit ; 42(4): 441-444, 2023 Aug.
Article in English | MEDLINE | ID: mdl-35075984

ABSTRACT

A 61-year-old man with no significant past medical history presented to a quaternary ophthalmic referral center with acute right-sided medial canthal pain, periorbital edema, and erythema despite oral antibiotic therapy. CT imaging confirmed the presence of right preseptal cellulitis and lacrimal sac aspiration identified Enterobacter cloacae. A diagnosis of acute right-sided dacryocystitis with preseptal cellulitis was made. He was successfully treated with broadening of antibiotic therapy to intravenous meropenem. Symptomatic resolution was noted on follow-up without evidence of disease recurrence. This unusual case of Enterobacter cloacae dacryocystitis and preseptal cellulitis highlights the increasing prevalence and challenges of treating these uncommon organisms.


Subject(s)
Dacryocystitis , Eyelid Diseases , Lacrimal Apparatus , Male , Humans , Middle Aged , Cellulitis/diagnosis , Cellulitis/drug therapy , Enterobacter cloacae , Dacryocystitis/diagnostic imaging , Dacryocystitis/drug therapy , Anti-Bacterial Agents/therapeutic use , Eyelid Diseases/diagnosis
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