# A Rare Occurrence of Methicillin-Resistant Staphylococcus aureus (MRSA) Pneumonia Complicated by Nasal Vestibulitis and Orbital Cellulitis: A Case Report

## TL;DR

A young healthy man in India developed a rare MRSA lung infection that spread to his nose and eye, but fully recovered with treatment.

## Contribution

This is the first reported case of MRSA pneumonia complicated by nasal and orbital infections in an immunocompetent adult in India.

## Key findings

- The patient had community-acquired MRSA pneumonia with nasal vestibulitis and orbital cellulitis.
- Vancomycin treatment led to a complete recovery of the patient.
- Such a combination of infections in a healthy adult is previously unreported in India.

## Abstract

We report the case of left lower lobe community-acquired methicillin-resistant Staphylococcus aureus (MRSA) pneumonia in an immunocompetent male in his 20s. His illness was complicated by the dramatic appearance of right nasal vestibulitis and right preseptal orbital cellulitis post-admission. The patient responded well to vancomycin and made a complete recovery. Community-acquired MRSA pneumonia in immunocompetent adults is a rare entity in India, and the combination with vestibulitis has not yet been reported. This hitherto unreported presentation sheds further light on the evolving pattern of MRSA infections in the community.