Conclusions
Given the concomitant infection with COVID-19 and unusual presentation,
the patient’s sinus 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. Avascular, pale mucosa and bone of the nasal
cavity was noted during surgery of this COVID-19 infected patient, which
is in contrast to the friable and edematous tissue typically found in
acutely infected sinuses. Our patient’s orbital abscess began to drain
spontaneously through the skin, which is rare for orbital abscesses.