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  • Title: Multi-resistant Enterobacter cloacae dacryocystitis and preseptal cellulitis: case and review of literature.
    Author: Kvopka M, Kingston E, Nguyen DDH, Tong JY, Kirk HL, Whyte CM, Dalgliesh JD, Danks JJ.
    Journal: Orbit; 2023 Aug; 42(4):441-444. PubMed ID: 35075984.
    Abstract:
    A 61-year-old man with no significant past medical history presented to a quaternary ophthalmic referral center with acute right-sided medial canthal pain, periorbital edema, and erythema despite oral antibiotic therapy. CT imaging confirmed the presence of right preseptal cellulitis and lacrimal sac aspiration identified Enterobacter cloacae. A diagnosis of acute right-sided dacryocystitis with preseptal cellulitis was made. He was successfully treated with broadening of antibiotic therapy to intravenous meropenem. Symptomatic resolution was noted on follow-up without evidence of disease recurrence. This unusual case of Enterobacter cloacae dacryocystitis and preseptal cellulitis highlights the increasing prevalence and challenges of treating these uncommon organisms.
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