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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.
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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