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13th February 2025
A 58-year-old presents with a red, painful eye.
A 58-year-old presents with a red, painful eye. He is normally independent and works in construction. He has a past medical history of hypertension for which he takes amlodipine 5 mg.
On examination, his left eye is proptosed and red, and you are unable to fully examine his cranial nerves as he finds it too painful to move his gaze.
Observations are: HR 95 bpm, BP 150/90 mmHg, RR 14, temperature 37.6℃.
Blood cultures are taken. Blood tests are as follows.
| Hb | 155 | (130-180) g/L |
| Platelets | 470 | (140-400) x109/L |
| WCC | 17.4 | (3.6-11) x109/L |
| CRP | 98 | (<5) mg/L |
Urgent CT of the brain and orbits shows evidence of left-sided orbital cellulitis with a periosteal abscess.
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