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A 2-week-old girl with uncomplicated birth history presented with 2 days of left eye swelling and 1 day of fever. Physical examination showed left ptosis, periorbital swelling and subtle proptosis (figure 1). Investigations revealed a raised blood leucocyte count of 24.89×10(9)/L. Cerebrospinal fluid (CSF) analysis showed red blood cell 25/μL, white blood cell 3003/μL and CSF:blood glucose ratio 0.48. Clinical impression was acute bacterial meningitis with left orbital cellulitis. She was treated with intravenous antibiotics …
Contributors Conceptualisation and design of study: WSL and SHG. Drafting the manuscript: WSL. Revising the manuscript: WSL, SHG, DCYL and SYYL. Approval of the version of the manuscript to be published: WSL, SHG, DCYL and SYYL.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.
Patient consent for publication Parental/guardian consent obtained.
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