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Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 11367
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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My Fiance woke up with a infected pore on her left cheek

Resolved Question:

My Fiance woke up with a infected pore on her left cheek about 2 inches below the eye with edema and erythema around the eye. what antibiotic is used for this if any. and is it an emergent issue?  what is the correct course of treatment for a medical provider?
Submitted: 6 years ago.
Category: Eye
Expert:  Dr. Rick replied 6 years ago.
The most common cause for this condition is a plugged gland, called a chalazion or a stye. It is not an emergent issue and does not require any antibiotics.

. These bumps form when a gland in your eyelid gets plugged up and possibly infected. It is very often associated with a condition called blepharitis.

The treatment for this condition, however, is not antibiotics but rather cleaning the eyelids with baby shampoo. Buy some unscented baby shampoo and, in the shower, but th shampoo on your index fingers. Close your eyes, and raise your eyelids (to get skin out of the way) and scrub back and forth along your EYELASH margin. This is where the gland openings are located. The warm water will soften the gunk in the plugged glands, the friction and pressure of your fingers will massage the glands, forcing the gunk out and the shampoo will wash it away. You can also use warm compress to the affected lids during the day as your schedule allows.

This treatment will help to treat the bump on your eyelid while at the same time solving your underlying blepharitis. The lump may take many weeks to go away but you should notice some improvement in a few days or so.

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Customer: replied 6 years ago.

No sorry this is not a stye.... The inection or bump is on her Cheek about 2 inches below the eye. she tried to remove a black head or pore 24hrs prior. There is swelling AROUND the eye with redness.????

Expert:  Dr. Rick replied 6 years ago.
Oops....sorry, I misunderstood.

What she has may be a case of cellulites. This is a bacterial infection that gets in and below the layers of the skin and involves the underlying tissue. It is has involved the area around the eye/orbit she could have periorbital or orbital cellulites.

This condition, unlike a chalazion does require fairly emergent evaluation and antibiotics. Depending upon the severity of the infection, how much of the orbital area is involved, if the movement of her eye is affected etc, it could require IV antibiotics and a stay in the hospital.

I'm not sure what time zone you are in, but I would suggest either a visit to the emergency room right now or a visit to her primary care MD in the next few hours when her office opens.

Sorry about the mixup -- it can be harder to tell what is going on without actually seeing the person face to face. :o)

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Have a great Holiday season and I hope your Fiance feels better soon.
Customer: replied 6 years ago.
I would like to know the correct oral antibiotic treatment for this issue. i think it is dicloxicillian or keflex?
Expert:  Dr. Rick replied 6 years ago.
Keflex is a very good choice, for skin infections I use 500 mg PO 2x/day for 7 to 10 days.

However, I believe she needs an evaluation to see if IV antibiotics are indicated.
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