Dr. Barun Garg, Dr. Kabita Bora Baishya, Dr. Mir Alam Siddique
We presented a rare case, 40 year male with severe swelling and pain in right eye, loss of vision, sudden onset and rapidly progressive involving the fronto parietal area of right face. On examination, swollen shut lid with erythematous lesion over forehead (crossing the midline), hard crusts and some amount of discharge, masquerading severe herpes zoster ophthalmicus progressing towards orbital cellulitis, left eye was normal. No h/o trauma or any systemic lesions and illness. Not known diabetic or hypertensive.
Detailed history and presentation propelled us for Investigations which revealed ppbs-600mg/dl, contrast CT scan orbit and pns- normal , pus culture- gram negative staphylococcus aureus. Initial treatment with IV ceftriaxone and amikacin didn’t respond, was changed to IV piperacillin with tazobactam along with surgical dressing. On discharge patient has best corrected vision of 6/9 with no lid abnormalities.