A unique case of herpetic keratitis manifesting as recurrent preseptal cellulitis

Preseptal cellulitis is typically caused by nasopharyngeal bacteria and can usually be treated with empiric antibiotics. We present a case of herpes simplex virus (HSV) 1 keratitis manifesting as recurrent and treatment refractory preseptal cellulitis. This is a rare presentation that is infrequentl...

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Main Authors: Emily Miller, Maxwell Ward, Tasaduq Fazili, Ekta Bansal
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:IDCases
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Online Access:http://www.sciencedirect.com/science/article/pii/S2214250925000423
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author Emily Miller
Maxwell Ward
Tasaduq Fazili
Ekta Bansal
author_facet Emily Miller
Maxwell Ward
Tasaduq Fazili
Ekta Bansal
author_sort Emily Miller
collection DOAJ
description Preseptal cellulitis is typically caused by nasopharyngeal bacteria and can usually be treated with empiric antibiotics. We present a case of herpes simplex virus (HSV) 1 keratitis manifesting as recurrent and treatment refractory preseptal cellulitis. This is a rare presentation that is infrequently reported in the literature. Due to the potential for permanent vision loss, it is important to consider herpes viruses as an etiology in immunocompromised patients with preseptal cellulitis not responding to standard treatment.
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id doaj-art-2e0e9cbe49874d1c94e4721dfd03d6d5
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issn 2214-2509
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publishDate 2025-01-01
publisher Elsevier
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spelling doaj-art-2e0e9cbe49874d1c94e4721dfd03d6d52025-08-20T02:57:32ZengElsevierIDCases2214-25092025-01-0139e0218710.1016/j.idcr.2025.e02187A unique case of herpetic keratitis manifesting as recurrent preseptal cellulitisEmily Miller0Maxwell Ward1Tasaduq Fazili2Ekta Bansal3Department of Internal Medicine, Roanoke, VA 24014, United States; Corresponding author.Department of Internal Medicine, Roanoke, VA 24014, United StatesDepartment of Infectious Diseases – Virginia Tech Carilion School of Medicine, Carilion Clinic - 1906 Belleview Ave SE, Roanoke, VA 24014, United StatesDepartment of Infectious Diseases – Virginia Tech Carilion School of Medicine, Carilion Clinic - 1906 Belleview Ave SE, Roanoke, VA 24014, United StatesPreseptal cellulitis is typically caused by nasopharyngeal bacteria and can usually be treated with empiric antibiotics. We present a case of herpes simplex virus (HSV) 1 keratitis manifesting as recurrent and treatment refractory preseptal cellulitis. This is a rare presentation that is infrequently reported in the literature. Due to the potential for permanent vision loss, it is important to consider herpes viruses as an etiology in immunocompromised patients with preseptal cellulitis not responding to standard treatment.http://www.sciencedirect.com/science/article/pii/S2214250925000423HSV keratitisImmunocompromisedPreseptal cellulitis
spellingShingle Emily Miller
Maxwell Ward
Tasaduq Fazili
Ekta Bansal
A unique case of herpetic keratitis manifesting as recurrent preseptal cellulitis
IDCases
HSV keratitis
Immunocompromised
Preseptal cellulitis
title A unique case of herpetic keratitis manifesting as recurrent preseptal cellulitis
title_full A unique case of herpetic keratitis manifesting as recurrent preseptal cellulitis
title_fullStr A unique case of herpetic keratitis manifesting as recurrent preseptal cellulitis
title_full_unstemmed A unique case of herpetic keratitis manifesting as recurrent preseptal cellulitis
title_short A unique case of herpetic keratitis manifesting as recurrent preseptal cellulitis
title_sort unique case of herpetic keratitis manifesting as recurrent preseptal cellulitis
topic HSV keratitis
Immunocompromised
Preseptal cellulitis
url http://www.sciencedirect.com/science/article/pii/S2214250925000423
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