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A female patient aged 78 years with a medical history of hypertension, type 2 diabetes and dyslipidemia, presented with right otalgia. At her first consultation, amoxicillin and clavulanic acid and topical ofloxacin were prescribed after the suggestion of a bacterial infection process, but without improvement of the symptoms. She arrived at our ED 3 days later with an acute onset of impaired facial expression and ocular pain. On physical examination, she was noted to have right conjunctival hyperemia, right-sided …
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.
Patient consent for publication Obtained.