Conclusions
Given the concomitant infection with COVID-19 and unusual presentation, the patient’s cultures support the notion that COVID-19 can affect the presence of bacteria within certain anatomical regions. Specifically, Peptoniphilus indolicus is not normally found outside of the vagina or gut biome. Like other parts of the body, the sinonasal cavity can become avascular as a result of COVID infections. It is also rare for orbital abscesses to drain spontaneously, as this abscess did.