University of Iowa Health Care

Ophthalmology and Visual Sciences

EyeRounds.org

Methicillin-resistant Staphylococcus aureus (MRSA) preseptal cellulitis

Contributor: Elizabeth Gauger, MD

Cellulitis

Cellulitis

31-year-old male who works in a nursing home, was transferred from an outside hospital for rapidly progressive lid swelling and overlying hemorrhage over the course of 4 days. This preseptal cellulitis was unresponsive to oral antibiotics. In our clinic, he underwent incision and drainage (I&D), and the cultures returned positive for methicillin-resistant Staphylococcus aureus (MRSA). He is at risk for being a carrier of MRSA given his employment in a nursing home. His clinical course improved rapidly with I&D of his lesion, frequent hot compresses, and parenteral vancomycin therapy. Several months later, his appearance was back to his baseline, with no long-term sequelae.

Photo: 6 weeks after treatment.


Creative Commons License
Ophthalmic Atlas Images by EyeRounds.org, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.

last updated: 1/21/2014
Share this page: