A Recent Case of Periorbital Necrotizing Fasciitis—Presentation to Definitive Reconstruction Within an In-Theater Combat Hospital Setting

Casey, Kevin; Cudjoe, Peter; Green, J. Marshall; Valerio, Ian L.

doi:10.1016/j.joms.2014.02.009

Cited by 9 publications

(5 citation statements)

References 13 publications

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“…Although necrotizing fasciitis occurs in the face and neck, isolated periorbital necrotizing fasciitis is relatively uncommon. 3 4 Risk of necrotizing fasciitis is high in patients with comorbidities and diseases like chronic renal failure, peripheral vascular disease, rheumatological disease and systemic malignancy. Especially, steroids and chemotherapeutic agents used in above conditions may increase the incidence.…”

Section: Discussionmentioning

confidence: 99%

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Periorbital necrotizing fasciitis in a case of lid and conjunctival amyloidosis

et al. 2020

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Necrotizing fasciitis is a severe, progressive, rapidly spreading infection of the subcutaneous soft tissue and underlying fascia. Periorbital necrotizing fasciitis is rare owing to the excellent blood supply of the area. Ocular amyloidosis is relatively uncommon- that of the eyelid is typically associated with systemic associations whereas amyloidosis of the conjunctiva is often localised with no other associations. Authors report a case of a 40-year-old female with a 4-year history of eyelid and conjunctival amyloidosis who presented with necrotic ulcers and eschars in the upper and lower lid with purulent discharge, conjunctival mass and a dry looking cornea in the left eye. She was a known case of rheumatoid arthritis (RA) on treatment in the last 2 years. The presentation, investigations and management are described.

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Section: Discussionmentioning

confidence: 99%

“…4 Prominent cutaneous changes of severe inflammation include vesicle formation, hyperaemia, and a reddish or purplish hue. 3 Presence of red, tense and swollen skin, leucocytosis and tissue emphysema strongly raises clinical suspicion. 5 Contrast CT is the investigation of choice-findings include increased soft-tissue opacity and thickness.…”

Section: Discussionmentioning

confidence: 99%

Periorbital necrotizing fasciitis in a case of lid and conjunctival amyloidosis

et al. 2020

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“…Early recognition and adequate treatment will help to save the eye and prevent mortality. 2 This condition usually occurs in immunocompromised individuals with multiple co-morbidities and is rare in healthy individuals.…”

Section: Introductionmentioning

confidence: 99%

A rare case of necrotizing fasciitis of eyelid in a young immunocompetent lady- case report and review of literature

Venkataramani¹,

Muralidhar²,

Sachidananda³

2021

Int J Otorhinolaryngol Head Neck Surg

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<p class="abstract">Necrotising fasciitis of the periorbital region is a rare condition where there is destruction of the periorbital soft tissue with potential of rapid spread causing significant morbidity and mortality. It is generally seen in immuno suppressed individuals following trivial trauma. Here we present a case of periorbital necrotising fasciitis in a young immonocompetent lady with emphasis on early identification and aggressive treatment to prevent loss of vision and mortality.</p>

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“…[ 39 ] NF has been associated with traumatic events in patients with compromised immune systems, diabetes, chronic steroid use and alcoholism. [ 40 ] Approximately two thirds of cases are associated with group A β-hemolytic streptococcus (GAS). This is a commensal organism that can also cause pharyngitis, pyoderma (impetigo), pneumonia, meningitis, and puerperal sepsis.…”

Section: Introductionmentioning

confidence: 99%

Common orbital infections ~ State of the art ~ Part I

Hamed-Azzam¹,

AlHashash²,

Briscoe³

et al. 2018

J Ophthalmic Vis Res

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Infections of the orbit and periorbita are relatively frequent, and can cause significant local and systemic morbidity. Loss of vision occurs in more than 10% of patients, and systemic sequelae can include meningitis, intracranial abscess, and death. Numerous organisms infect the orbit, but the most common are bacteria. There are many methods through which orbital infections occur, with infection from the neighboring ethmoid sinuses the most likely cause for all age groups. Prompt management is essential in suspected orbital cellulitis, and involves urgent intravenous antibiotics, rehydration, and treatment of any co-existent underlying systemic disease, e.g., diabetes, renal failure. This review summarizes the common infectious processes of the orbit in both pediatric and adult groups. We review pathophysiology, symptoms, signs, and treatment for infectious orbital processes.

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A Recent Case of Periorbital Necrotizing Fasciitis—Presentation to Definitive Reconstruction Within an In-Theater Combat Hospital Setting

Cited by 9 publications

References 13 publications

Periorbital necrotizing fasciitis in a case of lid and conjunctival amyloidosis

Periorbital necrotizing fasciitis in a case of lid and conjunctival amyloidosis

A rare case of necrotizing fasciitis of eyelid in a young immunocompetent lady- case report and review of literature

Common orbital infections ~ State of the art ~ Part I

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