Infectious Scleritis due to Methicillin-resistant Staphylococcus Aureus after Dengue Viral Fever

ABSTRACT

Purpose

Dengue fever is a severe mosquito-borne disease which can present with various severe ocular manifestations. We aim to report a case of infectious scleritis in dengue fever, occurring due to Methicillin-resistant Staphylococcus aureus (MRSA), managed with intravenous Teicoplanin.

Methods

Case report.

Results

A 23-year-old woman with recent hospitalization for dengue fever presented with severe pain and a nodular scleral lesion. She was initially diagnosed with immune-mediated scleritis, but as the condition worsened, she underwent scleral scraping which subsequently grew MRSA. She was initially started on topical vancomycin eye drops and topical linezolid but there was further worsening. Therapy was switched to intravenous Teicoplanin which resulted in rapid resolution of the condition.

Conclusion

To the best of our knowledge, this is the first reported case of infectious scleritis in association with dengue fever due to MRSA.

KEYWORDS:

• Dengue fever
• ophthalmic manifestations in dengue fever
• infectious scleritis
• methicillin-resistant staphylococcus aureus
• Teicoplanin

Declaration of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

Additional information

Funding

For Somasheila Murthy, Hyderabad Eye Research Foundation, Hyderabad, India.