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Article
December 1987

Preseptal Cellulitis Complicated by Toxic Shock Syndrome

Author Affiliations

Lake Geneva, Wis
Chicago

Arch Ophthalmol. 1987;105(12):1631-1632. doi:10.1001/archopht.1987.01060120029008
Abstract

To the Editor.  —Preseptal cellulitis usually resolves quickly and without complication after proper antimicrobial therapy. Herein, we report a case with a previously unreported complication, ie, toxic shock syndrome.

Report of a Case.  —A 12-year-old boy complained of swelling and pain of the right eyelids of several hours' duration. Twelve hours previously, his right upper lid had been scratched by a fingernail during a basketball game. A 1-cm superficial laceration was present on the right upper lid, and both upper lids were edematous and erythematous. Extraocular movements, pupillary reactions, visual acuity, and fundi were normal. His temperature was 38.2°C; pulse rate, 120 beats per minute; and blood pressure, 138/84 mm Hg.Increasing lid swelling prompted hospitalization and initiation of intravenous nafcillin (25 mg/kg/4 h). On the first day of hospitalization, the patient developed a fever (temperature, 40.2°C), nausea, vomiting, diarrhea, oliguria, and hypotension (blood pressure, 70/32 mm Hg), all thought

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