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May 1997

Orbital Cellulitis in the Acquired Immunodeficiency Syndrome

Author Affiliations

Tampa, Fla

Arch Ophthalmol. 1997;115(5):677-678. doi:10.1001/archopht.1997.01100150679025

We report the cases of 2 patients with the acquired immunodeficiency syndrome (AIDS) who were treated successfully for bacterial orbital cellulitis.

Report of Cases. 

Case 1.  A 33-year-old man was seen with a 4-day history of right periorbital swelling, fever, and chills. A tender mass was found lateral to the right canthus that had been enlarging for several days. Nine years earlier, AIDS had been diagnosed in the patient, and he had been treated for 2 opportunistic infections: Cyptosporidium species diarrhea and Candida species esophagitis. At the time of our examination, his medications were oral amoxicillin, 250 mg 3 times a day, oral diphenoxylate hydrochloride, up to 20 mg/d, oral trimethoprim-sulfamethoxazole, 160 and 800 mg, respectively, 2 times a day, 1% clotrimazole cream, 3 times a day, and oral stavudine, 40 mg 2 times a day. His CD4 count 3 months prior to our examination was less than 1.00×109/L (<10