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Sandra M. Brown, MD; Gary T. Raflo, MD; W. Lee Fanning, MD

Arch Ophthalmol. 2009;127(7):941-942.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Methicillin-resistant Staphylococcus aureus (MRSA) has been reported to cause conjunctivitis,¹ endophthalmitis, keratitis following refractive surgery, corneal ulcer, wound infection after clear-cornea cataract surgery, and dacryocystitis.² We report a case of community-acquired MRSA conjunctivitis that progressed to periorbital soft tissue invasion and destruction.

Report of a Case

A healthy 31-year-old man was referred for nonresolving conjunctivitis in the right eye. One week earlier, he developed redness and swelling of the right lower eyelid with conjunctival injection. After 4 days, he was evaluated in a local emergency department and began receiving cephalexin and gatifloxacin (Zymar) 4 times daily. The eyelid swelling partially resolved but the eye remained red, and the patient developed heavy yellow mucopurulent discharge that repeatedly accumulated in the medial canthus. He denied diplopia or epiphora. He was afebrile and felt well otherwise. He had no risk factors for immunosuppression or colonization . . . [Full Text of this Article]

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