LAUSR

Our patient is a 15-year-old female who presented with right facial swelling. She developed swelling of her right upper lip after rupturing a pimple on her top lip. She had no previous skin infection, sinusitis, or other facial trauma. Over the next 2 days, erythema developed, and the swelling progressed to include her right eye, cheek, both lips, and around her jaw line. She remained afebrile, with anorexia and episodes of emesis for 2 to 3 days. After her swelling failed to improve, she went to her local emergency room (ER) where she was febrile to 38.8°C (101.8°F), tachycardic to 152, and did not require supplemental oxygen. A facial computerized tomography (CT) was performed which showed preseptal swelling with no abscesses. She was given a dose of ceftriaxone prior to transfer to our facility.