Eyelid Necrosis and Periorbital Necrotizing Fasciitis

Kronish, Jan W.; McLeish, William M.

doi:10.1016/s0161-6420(91)32334-0

Cited by 126 publications

(82 citation statements)

References 26 publications

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“…The condition is most often caused by Streptococcus pyogenes or Staphylococcus aureus infection, Group A beta-hemolytic streptococci (NF Type II) being the most frequent bacterial etiology leading to acute and severe infection. Type-I NF is polymicrobial etiology and causative organisms include obligate and facultative anaerobes [1]. Nearly 10% of NF cases have been reported to involve the head and neck region [2].…”

Section: Discussionmentioning

confidence: 99%

“…Nearly 10% of NF cases have been reported to involve the head and neck region [2]. Periorbital NF have been reported to have better prognosis [1]. Studies published in past few years suggest that the mortality rate in case of periorbital NF ranges from 8.5% [3] to 12.5% [1].…”

Section: Discussionmentioning

confidence: 99%

“…Periorbital NF have been reported to have better prognosis [1]. Studies published in past few years suggest that the mortality rate in case of periorbital NF ranges from 8.5% [3] to 12.5% [1]. Wladis et al reported a case series of seventeen patients with periorbital necrotizing fasciitis.…”

Section: Discussionmentioning

confidence: 99%

“…The antecedent condition in most cases is minor trauma [1]. In very rare cases an insect bite can be the inciting event.…”

Section: Discussionmentioning

confidence: 99%

“…To our knowledge periocular NF following insect bite is an extremely rare entity and one such case has been reported in a patient diagnosed with chronic lymphocytic leukemia. Periocular NF is associated with significant mortality (12.5%) [1]. We emphasise on the importance of urgent surgical intervention to avoid mortality in periocular NF.…”

Section: Introductionmentioning

confidence: 96%

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A Rare Case of Post-Insect Bite Periocular Necrotising Fasciitis: Successful Surgical Management

Sharma¹,

R²,

Mahesh³

et al. 2017

J Eye Cataract Surg

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A 80-year-old female of moderate build who presented with complaints of pain, redness and severe swelling of the lids of left eye since 3 days following an insect bite. On examination she had severe edema of left eyelids extending to upper cheek area, blackish discoloration of lower periorbital skin. Slit lamp biomicroscopy did not reveal any abnormality in either of eyes. Microbiological investigations both examination of Gram stained smear and cultures did not show any microorganism. The patient was initially started on broad-spectrum intravenous antibiotics but did not show favourable response. Therefore, surgical debridement in two sittings followed by reconstruction with cheek rotation flap was performed. Patient responded favourably to surgical treatment. This case demonstrates that ophthalmologists should have high index of suspicion as necrotising fasciitis may occur following insect bite even in immuno-competent patients. Emergent surgical management coupled with parenteral broad spectrum antibiotics may limit ocular morbidity.

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Section: Discussionmentioning

confidence: 99%