Case Presentation
The patient is a 76-year-old white male from a nursing home tested
positive for COVID-19 and was sent from a nursing facility for left eye
drainage and psychiatric evaluation. Upon presentation, the patient was
not fully oriented and could not provide a history of the eye drainage.
CT scan showed sinusitis with left orbital and periorbital abscess
formation, cellulitis, and extensive osteomyelitis. He underwent
endoscopic transnasal drainage and orbiotomy. Cultures returned positive
for MRSA, Streptococcus constellatus, and Peptoniphilus indolicus. He
was maintained on several days of IV antibiotics and returned to the
nursing home.