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Case Report
Acinetobacter baumannii: Not your typical preseptal cellulitis culprit
1 University of South Florida, Department of Ophthalmology, Tampa, FL, USA
Address correspondence to:
Sabrina Khalil
MD, 10512 Cory Lake Dr., Tampa, FL, 33647,
USA
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Article ID: 100022Z17SK2021
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Khalil S, Whitfield W, Bajric J. Acinetobacter baumannii: Not your typical preseptal cellulitis culprit. J Case Rep Images Opthalmol 2021;4:100022Z17SK2021.ABSTRACT
Introduction: This is the first report of preseptal cellulitis caused by Acinetobacter baumannii, which is a rare and potentially fatal cause of skin and soft tissue infections. Once thought to be of little pathological importance, it is now recognized for its role in opportunistic, multi-drug-resistant (MDR) and life-threatening infections.
Case Report: A 61-year-old woman with extranodal NK/T-cell lymphoma presented for evaluation of a left upper lid exophytic mass and preseptal cellulitis. She was status post incision and drainage of a hordeolum at an outside institution and was refractory to an initial trial of oral antibiotic therapy. At our institution, she was treated with broad-spectrum IV antimicrobials and required surgery for wound debridement. Tissue cultures were consistent with A. baumannii.
Conclusion: A high index of suspicion is required in immunocompromised patients, as early empiric antimicrobial therapy and prompt surgical debridement can be sight- and life-saving.
Keywords: Acinetobacter, Cellulitis, Multi-drug resistance, Priority pathogen
SUPPORTING INFORMATION
Author Contributions
Sabrina Khalil - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Whitney Whitfield - Substantial contributions to conception and design, Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Jasmina Bajric - Substantial contributions to conception and design, Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten consent was not obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Sabrina Khalil et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
