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A 32-year-old man presents with the acute onset of a “face sore” and tender swelling of the ipsilateral eye. Key point: The entire picture is consistent with traumatic ecthyma below the eye, followed by a cellulitis involving the periorbital soft tissue.
Pseudomonas aeruginosa (large colonies with undulate margin and beta-hemolysis), Staphylococcus aureus (yellow colonies with beta-hemolysis) and Staphylococcus epidermidis (small, white colonies without hemolysis) on sheep blood agar.

Blood agar plate culture showing Haemophilus influenzae satelliting around Staphylococcus aureus. He works as a gardener and thinks that he poked his face with a tree branch about 3 days previously.

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