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Notable Near Miss

In this case, a 70-year-old female presents to the emergency department (ED) of a community hospital with facial swelling and rash. She was seen at her family doctor’s office 4 days earlier, when she was diagnosed with herpes zoster and started on medication. She complains of headache, blurred vision, severe pain in her scalp, and swelling around her eye. Attention is initially focused on her skin infection and the appropriate antibiotic treatment. She has two further visits to the same ED before a complication of her infection is noted, requiring referral for ophthalmological assessment.