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SYMPTOMS
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Lid tenderness and warmth. Possible fever.
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SIGNS
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Lid redness and swelling.
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WORK-UP
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Thorough history. Slit lamp examination. Lymph node check. CT scan of brain and orbits may be warranted in severe cases.
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TREATMENT
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Oral antibiotics (typically 10-14 days): Augmentin 875/125 mg bid | Bactrim 160/800 mg bid | Doxycycline 100 mg bid
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Topical antibiotics and warm compresses | In severe cases, hospitalization with IV antibiotics may be indicated.
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FOLLOW-UP
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Every couple of days for reassessment.
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ADDITIONAL LAB | TESTS
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CT scan of brain and orbits may be warranted in severe cases.
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ETIOLOGY
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Trauma | insect bite | infectious spread from adjacent structures - Staphylococcus and Streptococcus species are the most common culprits | Haemophilus influenzae | herpes | fungi
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DIFFERENTIAL DX
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Orbital cellulitis | Hordeolum | Necrotizing fasciitis | Angioedema | Insect bite | Contact dermatitis.
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