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Preseptal cellulitis caused by community acquired methicillin resistant Staphylococcus aureus (CAMRSA)
  1. Sofia Charalampidou1,
  2. Paul Connell1,
  3. Jerome Fennell2,
  4. Maureen Lynch2,
  5. Robert Acheson3
  1. 1
    Ophthalmology Department, Mater Misericordiae University Hospital, Dublin, Ireland
  2. 2
    Microbiology Department, Mater Misericordiae University Hospital, Dublin, Ireland
  3. 3
    Ophthalmology Department, Mater Misericordiae University Hospital, Dublin, Ireland
  1. Dr Sofia Charalampidou, Ophthalmology Department, Mater Misericordiae University Hospital, Eccles Street, Dublin 7, Ireland; sonia_charalampidou{at}yahoo.co.uk

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Infections with methicillin resistant Staphylococcus aureus (MRSA) usually occur in individuals with well established risk factors such as a recent hospital admission, multiple antibiotic treatment, or chronic illness. We report on repeated ocular presentations of preseptal community acquired MRSA cellulitis in a previously healthy 20 year old male student.

Case report

A 20 year old student presented to the eye department with a five day history of left periorbital swelling associated with a crusted lesion on the temporal border of his left eyebrow and preseptal cellulitis. Past medical history was remarkable for the appearance of similar skin lesions six weeks previously on the right calf, and mild eczema. Similar lesions were found on the patient’s neck, back, and right calf. The latter lesion was discharging and swabbed for culture and sensitivities (fig 1). Initial treatment with oral flucloxacillin failed to resolve the cellulitis and he was admitted 36 hours later. Examination revealed a tense swelling of his left upper lid, with periorbital erythema and oedema (fig …

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