Bacterial conjunctivitis, Face-pie
A 42-year-old female was referred to eye casualty for suspected left orbital cellulitis with swollen eyelids, photosensitivity, pain and yellow discharge. 24 hours previously, she had played a party game wherein whipped cream was flung into her left eye; she immediately wiped the eye clean. On examination, her left eyelid was oedematous and conjunctiva was chemotic. A conjunctival swab grew Streptococcus pneumoniae sensitive to chloramphenicol - she recovered uneventfully with chloramphenicol eyedrops.
Previously documented novel modes of transmission for bacterial eye infections include seminal fluid  for gonococcal and eye cosmetics  for chlamydial conjunctivitis. To our knowledge this is the first reported case of bacterial conjunctivitis resulting from the increasingly popular party game where players are 'creamed' by the spring-loaded toy arm (Figure 1).
Figure 1: Bacterial conjunctivitis. View Figure 1
- Novelty games involving physical 'pranks' can be a source of opportunistic bacterial infections, for example conjunctivitis in this case.
- Detailed history taking can help clinicians formulate sensible differential diagnoses and provide the correct treatment.
Patient has given consent for the publication of this case report and photography.