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To report a case of recurrent Staphylococcus aureus chalazia in a patient with hyperimmunoglobulinemia E syndrome (Job’s Syndrome). Case report. Three separa te surgical incisions and curettages of multiple, recurrent chalazia of the righ t upper eyelid were performed over a course of 3 months. Cultures and pathologic specimens were obtained. Postoperative treatment consisted of oral erythromycin and amoxicillin/-clavulonate, topical tobr amycin/dexamethasone ointment, and warm compresses. Pathology of the tarsus co nfirmed the diagnosis of multiple chalazia. Cultures of the chalazia contents we re positive for Staphylococcus aureus. No further recurrence was observed follow ing the third surgical procedure over a 3-month follow-up period. Characterist ic Staphylococcus aureus skin infections in immunodeficient patients with hyperi mmunoglobulinemia E syndrome can involve the eyelids and may be recurrent despit e appropriate medical and surgical therapy.
To report a case of recurrent Staphylococcus aureus chalazia in a patient with hyperimmunoglobulinemia E syndrome (Job’s Syndrome). Case report. Three separa te surgical incisions and curettages of multiple, recurrent chalazia of the righ t upper eyelid were performed over a course of 3 months Cultures and pathologic specimens were obtained. Postoperative treatment consisted of oral erythromycin and amoxicillin / -clavulonate, topical tobr amycin / dexamethasone ointment, and warm compresses. Pathology of the tarsus co nfirmed the diagnosis of multiple chalazia. Cultures of the chalazia contents we re positive for Staphylococcus aureus. No further recurrence was observed follow the third surgical procedure over a 3-month follow-up period. Characterist ic Staphylococcus aureus skin infections in immunodeficient patients with hyperimmunoglobulinemia E syndrome can involve the eyelids and may be recurrent despit e appropriate medical and surgical therapy.