A 52-year-old man was admitted due to high-grade fever with chills and cranial nerve
deficits. Fifteen days prior to hospitalization, a furuncle had developed over the
tip of the nose and had extended to involve the surrounding area and upper lip. He
was prescribed oral antibiotics, after which the lesion had started healing. However,
fever persisted, and 1 day prior to admission he noticed pain in his right eye and
forehead, with drooping of the eyelid and diplopia (Figure 1). On examination, complete right ophthalmoplegia due to right lateral and medial
rectus palsy was found (Figure 2A and 2B).
Figure 1A lesion in the danger triangle of the face, and ptosis of the right eye.
Figure 2(A) Right lateral rectus palsy. (B) Right medial rectus palsy.
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Article Info
Publication History
Published online: April 10, 2017
Accepted:
March 8,
2017
Received:
February 26,
2017
Identification
Copyright
© 2017 Elsevier Inc. All rights reserved.
