Ouazzani B Tnacheri, Dali H, Daoudi R, Chakir M, Jiddane M, Mohcine Z
Service d'Ophtalmologie A, Hôpital des Spécialités, Rabat, Maroc.
J Fr Ophtalmol. 2006 Jun;29(6):e14.
Rat bite is rarely reported in the literature. We report the case of a 33-year-old woman who was bitten by a rat on her upper eyelid. The clinical examination showed a large palpebral edema extending to the side of the face, associated with local signs of inflammation. Visual acuity was preserved and tomodensitometry showed a small exophthalmia that did not extend to the sinuses. This lesion led to a diagnosis of orbital cellulitis. Progression was favorable with antibiotics: amoxicillin, clavulanic acid, gentamicin, and metronidazole. The authors discuss the compromised prognosis of this disease and the necessity of rapid diagnosis and prompt therapeutic management.