A 27 year old male from south-eastern state of India presented with fever and progressive pain and cellulitis of right eye for one week. There was no history of vomiting, altered mentation or seizure episodes associated with his symptoms. He did not have any respiratory symptoms as well. Initially he developed fever and noticed a small papule below his right eye. It soon progressed and developed cellulitis involving the entire periorbital area.
There was also watering from the affected eye and he was not able to open it. Fever intensity was increased progressively and was 102.7 degree fahrenheit on admission. He was initially evaluated under dermatology and a biopsy from the erythematous eschar like induration was performed. He was transferred under infectious disease department and was evaluated further. Baseline blood counts showed total WBC count of 19,300/microlt with 87 %…
