Typical symptoms of furuncular myiasis include itching, a sensation of movement, and sometimes sharp, stabbing pain. At first, people have a small red bump that may resemble a common insect bite or the beginning of a pimple (furuncle). Later, the bump enlarges, and a small opening may be visible at the center.
Preseptal cellulitis. 1  Acute onset of swelling, redness, warmth and tenderness of the eyelid. 2  Eyelid oedema in the absence of orbital signs such as gaze restriction and proptosis. 3  Fever, malaise, irritability in children.  Ptosis.
If an inpatient responds to empiric antibiotics and can be switched to oral antibiotics, further care can be provided on an outpatient basis. Ambulatory intravenous therapy with daily review is a possible alternative to inpatient admission in patients with pediatric preseptal cellulitis. On outpatient follow-up care, the patient should be evaluated for signs of relapse, including fever, erythema, edema, pain, and vision loss.