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- bacteriology
- dermatology
- infectious diseases
- ophthalmology
- infectious diseases and infestations
- head and neck surgery
A 14-year-old girl presented with a left upper eyelid diffuse swelling and an ipsilateral pseudoptosis (figure 1A). She had been referred by a general practitioner as an urgent case of orbital cellulitis. She had already received 2 days of treatment with oral clindamycin without improvement in symptoms. The patient’s general medical history was unremarkable. Her family owned two dogs and she had been bitten by them several times during playing. Nasal endoscopy was performed. No purulent secretions were found in the middle meatus. MRI showed a …
Footnotes
Contributors PK: conception, acquisition of data, design, drafting the article, final approval of the version to be published. EP: acquisition of data, design, revising the article, final approval of the version to be published. CS: drafting the article, revising the article, final approval of the version to be published.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Parental/guardian consent obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
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