ArticleJournal of education & teaching in emergency medicine2025
A Case Report of Inferior Rectus Abscess.
Article in Journal of education & teaching in emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Soft tissue infections, including abscesses, are frequently encountered in the emergency department. However, abscesses of the inferior rectus muscle are rare and may present unique diagnostic and therapeutic challenges due to the scarcity of documented cases. This case report highlights the treatment of a 47-year-old male presenting with an abscess in the left inferior rectus muscle due to an acute Methicillin-resistant Staphylococcus aureus infection. Imaging revealed a distinct fluid collection compressing the left globe, causing restricted ocular motility and other symptoms. Despite prior intravenous antibiotics, the abscess persisted. While intravenous antibiotics are an important component of treatment, this case highlights the potential insufficiency of this approach alone, emphasizing a need for surgical intervention such as orbitotomy for drainage. This report contributes to the limited literature on inferior rectus muscle abscesses and underscores the need for further research and clinical attention to optimize patient outcomes. Topics: Abscess, soft tissue infection, extraocular muscles, pyomyositis, Methicillin-resistant Staphylococcus aureus, proptosis, diplopia, vision loss.
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