Woman presents with lid swelling and proptosis

A 34-year-old woman was transferred to the University of New Mexico emergency department with a 3-day history of progressive left eye swelling. She complained of mild blurry vision, diplopia, discomfort with eye movements and difficulty opening the left eye. She also noted foul-smelling left-sided nasal discharge, subjective fevers and nausea for the past 3 days. She reported having a history of left-sided epistaxis requiring nasal cautery about 2 or 3 years before presentation. She also had a 1-year history of increased tearing in the left eye. She had no other (Read more...)

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