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.
Taubenslag KJ, Michaels MG, Sylvester CL. A Child With Unilateral Conjunctivitis and Elevated Inflammatory Markers. JAMA Ophthalmol. 2018;136(11):1297–1298. doi:10.1001/jamaophthalmol.2018.0936
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