Open AccessAcute ptosis as a presentation of preseptal cellulitis leading to cerebral abscess in a patient with uncontrolled diabetes
Author(s) -
Nor Roziah Razali,
Yao Mun Choo
Publication year - 2021
Publication title -
malaysian family physician
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.207
H-Index - 14
eISSN - 1985-2274
pISSN - 1985-207X
DOI - 10.51866/cr1010
Subject(s) - medicine , ptosis , cellulitis , surgery , abscess , diabetes mellitus , ceftriaxone , dermatology , antibiotics , microbiology and biotechnology , biology , endocrinology
Acute ptosis due to preseptal cellulitis requires urgent medical attention, as the infection can extend posteriorly into the orbit, leading to significant visual and cerebral complications. We report a case of a 58-year-old woman with uncontrolled diabetes mellitus presenting with acute ptosis due to preseptal cellulitis. After initial resolution of fever with intravenous amoxicillin-clavulanate, she experienced a seizure due to cerebral abscess a week later and was treated with intravenous ceftriaxone. Preseptal cellulitis is usually treated on an outpatient basis with oral antibiotics, as it rarely extends posteriorly to cause cerebral complications. We wish to highlight the importance of admitting patients with preseptal cellulitis in patients with uncontrolled diabetes for intravenous antibiotics due to the potential for visual and cerebral complications.