Periorbital necrotising fasciitis: delay in diagnosis results in loss of lower eyelid.

Abstract

Necrotising fasciitis (NF) is an extremely rare skin and soft tissue infection with extensive necrosis of the subcutaneous tissue and underlying fascia, which usually affects the limbs and trunk. It rarely affects the head and neck region because of the excellent blood supply in this region. We report a case of NF initially misdiagnosed as a traumatic pre-septal cellulitis following self-puncture of a hordeolum externum (stye) and its resistance to aggressive antibiotic therapy resulting in the loss of the lower eyelid.

• Authors: Vignesh Raja, Raly Job, Alan Hubbard, Brendan Moriarty
• Journal: International ophthalmology (Int Ophthalmol) Vol. 28 Issue 1 Pg. 67-9 (Feb 2008) ISSN: 0165-5701 [Print] Netherlands
• PMID: 17593324 (Publication Type: Case Reports, Journal Article)

Chemical References

• Antitubercular Agents
• Amphotericin B

Topics

• Adult
• Amphotericin B (therapeutic use)
• Antitubercular Agents (therapeutic use)
• Blepharoplasty
• Combined Modality Therapy
• Debridement
• Drug Therapy, Combination
• Early Diagnosis
• Eyelid Diseases (diagnosis, therapy)
• Eyelids (surgery)
• Fasciitis, Necrotizing (diagnosis, therapy)
• Humans
• Male
• Orbital Diseases (diagnosis, therapy)