Multi-resistant Enterobacter cloacae dacryocystitis and preseptal cellulitis: case and review of literature

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.

KEYWORDS:

• Dacryocystitis
• Enterobacter cloacae
• preseptal cellulitis

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Ethical statement

No ethics approval was required for this case report.

Consent statement

The patient provided informed consent for this case to be published.

Additional information

Funding

No financial support was provided. There are no proprietary interests for any of the authors of this Report.