PMC6716584_01
Baseline clinical presentation of left eye shows uniaxial proptosis with marked palpebral edema and conjunctival chemosis. Note the corneal ulcers.
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The left eye showed proptosis, periorbital edema, chemosis in all quadrants of the conjunctiva and severe exposure keratopathy (Figure 1).
(A) Multi slice computed tomography (MSCT) scan of the orbit clearly shows right eye proptosis with lesion involving superior orbit, lateral orbit and retro bulbar space; (B) The lesion had variegated appearances and was indenting the globe.
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A multislice computed tomography (MSCT) scan showed lesions involving the lateral orbit (Figure 2A) and the retro bulbar space (Figure 2B).
(A) Clinical improvement after three days. (B) Resolution of proptosis, chemosis and edema after adjuvant intravenous corticosteroid. (C) The palpebral could close after three weeks' therapy with antibiotics combination and corticosteroid.
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On three days' administration of broad-spectrum cephalosporin antibiotic 750 mg twice a day, there is slight improvement of the patient's condition (Figure 3A). Patient shows resolution of clinical presentation after an additional intravenous administration of anti-inflammatory dexamethasone 5 mg twice a day for three days (Figure 3B). The patient made a good response after additional intravenous administration of broad-spectrum aminoglycoside antibiotic 40 mg twice a day for one week (Figure 3C).