A 59-year-old man was transferred from an outside hospital to the University of New Mexico Hospital for acute left eye vision loss and proptosis.
He was admitted 5 days prior and noted gradual vision changes and a “sensation of congestion” around the same time. The patient denied any recent trauma, eye pain, headache, fevers, chills, nausea or emesis.
His medical history was significant for diabetes, alcoholic liver cirrhosis, pancreatitis, hypertension and chronic left tibial osteomyelitis/hardware infection. He was allergic to penicillin. Medications included insulin and