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Atypical Orbital Cellulitis Caused by Methicillin-Resistant Staphylococcus aureus: Two Cases
Ann Optom Contact Lens 2018;17:21-24
Published online March 25, 2018
© 2018 The Korean Optometry & Contact Lens Study Society

Minji Woo, MD, Jinhwan Park, MD, Sehyun Baek, MD, PhD

Department of Ophthalmology, Guro Hospital, Korea University College of Medicine, Seoul, Korea
Correspondence to: Sehyun Baek, MD, PhD
Department of Ophthalmology, Guro Hospital, Korea University College of Medicine, #148 Gurodong-ro, Guro-gu, Seoul 08308, Korea
Tel: 82-2-2626-1260, Fax: 82-2-857-8580
E-mail: shbaek6534@korea.ac.kr
Received February 19, 2018; Revised February 21, 2018; Accepted March 11, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Purpose: To report two cases of orbital methicillin-resistant Staphylococcus aureus (MRSA) cellulitis.
Summary: We report two cases of orbital methicillin-resistant Staphylococcus aureus (MRSA) cellulitis with the unusual origins of nosocomial MRSA infection after facial osmetic procedures (forehead fat graft and canthoplasty) and community-acquired MRSA infection after trauma. Orbital swelling was patients' chief complaint and rapid necrotic change of fat tissue or diffuse soft tissue infiltration was presented. Intraoperative wound cultures grew MRSA in both patents. After treatment of systemic antibiotics all symptoms were gradually improved.
Conclusion: Severe and rapid necrotic change in the soft tissue, including orbital fat and levator muscle, can be an important sign of MRSA infection.
Keywords : Blepharoplasty; Fat transplantation; Methicillin-resistant Staphylococcus aureus; Orbital cellulitis; Trauma


June 2018, 17 (2)