04/06/2026
Meet E Li, who was referred to us yesterday alongside his very dedicated mum, Mouse.
He has a history of intermittent skin and nail disease, with periods of improvement followed by recurrent flares. At yesterday’s visit he presented with ulceration and crusting around his eyes, prompting further investigation.
Cytology revealed intracellular cocci despite the fact he was currently receiving a course of antibiotics. A bacterial culture has been submitted so we can ensure he’s on the most appropriate antimicrobial therapy before considering next diagnostic steps.
Once we have the culture and sensitivity results, we’ll review his response and determine whether biopsies are indicated to further characterise the underlying disease process.