Hordeolum: The Daily PANCE Blueprint
Which of the following is the most common bacterial cause of a hordeolum?
A. Streptococcus pyogenes
B. Staphylococcus aureus
C. Clostridium perfringens
D. Propionibacterium species
E. Enterobacter aerogenes
Answer and topic summary
The answer is B. Staphylococcus aureus
A hordeolum (stye) is an abscess of the eyelid that is acute. It will usually present with pain and swelling of the eyelid. The most common pathogen indicated is Staphylococcus aureus. Risk factors include dirty eye makeup, rosacea, and seborrheic dermatitis. A way to differentiate hordeolums from chalazions is that Hordeolums are Hot (aka warm/tender).
Treatment may include warm compresses (10 min up to 5 times daily) plus massaging the eyelid to aid in drainage.
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Also covered as part of the Family Medicine EOR topic list