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Background: Orbital abscess is a very rare occurrence in early infancy. Case characteristics: A 40 days old infant brought with fever and sudden onset proptosis with eye lid erythema and edema of the left eye. Outcome: The infant required emergent drainage of abscess and multiple concomitant procedures to drain out pus completely. He got better with appropriate antibiotics and surgical intervention. Message: Orbital abscess in some babies may need aggressive repeated surgical intervention along with appropriate antibiotics.