[Skip to Content]
[Skip to Content Landing]
Views 637
Citations 0
JAMA Ophthalmology Clinical Challenge
November 2018

A Child With Unilateral Conjunctivitis and Elevated Inflammatory Markers

Author Affiliations
  • 1Department of Ophthalmology, Children’s Hospital of Pittsburgh, University of Pittsburgh Medical Center, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
  • 2Department of Pediatrics, Children’s Hospital of Pittsburgh, University of Pittsburgh Medical Center, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
JAMA Ophthalmol. 2018;136(11):1297-1298. doi:10.1001/jamaophthalmol.2018.0936

A previously healthy 12-year-old boy presented to an outside hospital for fever, headache, and unilateral red eye with periorbital edema. He received oral trimethoprim-sulfamethoxazole and 2 days of intravenous clindamycin phosphate and ceftriaxone sodium. On transfer to our institution for failure to improve and concern for orbital cellulitis, results of examination by the ophthalmology service revealed a unilateral hemorrhagic conjunctivitis without orbital signs, and computed tomography showed mild preseptal edema. The patient was discharged with a tentative diagnosis of viral conjunctivitis.

×