A fatal case of necrotising fasciitis of the eyelid.

Walters, R F

doi:10.1136/bjo.72.6.428

Cited by 36 publications

(12 citation statements)

References 15 publications

(2 reference statements)

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“…In the head and neck region, NF-related mortality follows two anatomic criteria. Involvement of the upper face, eyelids and scalp has a slightly better survival than those involving the lower face and neck (6,12,13). Reasons for this difference are largely speculative and may be due to the involvement of crucial areas of the head and neck region.…”

Section: Discussionmentioning

confidence: 99%

Necrotizing fasciitis: Diagnosis and management of an occult infective focus

Chandawarkar¹

2004

J Plast Surg

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Section: Discussionmentioning

confidence: 99%

Necrotizing fasciitis: Diagnosis and management of an occult infective focus

Chandawarkar¹

2004

J Plast Surg

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“…10 Necrotising fasciitis rarely involves the periocular skin, with less than 60 well-documented case reports over the last 50 years. [11][12][13] Clinically, there are three subtypes of necrotising fasciitis, namely fulminant, acute, and sub-acute. The fulminant variety is characterised by a very rapid onset and progression and, in severe cases, can result in circulatory shock and multi-organ failure.…”

Section: Discussionmentioning

confidence: 99%

“…7,23 In patients with periorbital necrotising fasciitis, the mortality rate has been reported to be 10%. 12,15 Diagnosis is difficult in the early course of the disease because of the paucity of cutaneous findings. 8,25 Also, the use of pre-admission antibiotics modify the clinical picture adding to the diagnostic difficulty.…”

mentioning

confidence: 99%

Multidisciplinary management of periocular necrotising fasciitis: a series of 11 patients

Tambe

Tripathi

Burns

et al. 2011

Eye

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Background Necrotising fasciitis is an uncommon but life-threatening soft tissue infection characterised by rapidly spreading inflammation and necrosis of skin, subcutaneous fat and fascia. Left untreated, the mortality can be more than 70%. Early surgical intervention can reduce morbidity and mortality. Patients and methods This is a series of 11 patients who presented to our oculoplastic and orbit unit with periocular necrotising fasciitis over a period of five years. We present the modes of presentation, predisposing factors, diagnosis, and the multidisciplinary team management of these patients. Results Of the 11 patients, 1 patient died and 2 patients required intensive care management. Of the 10 surviving patients, 8 patients needed further surgical interventions for correction of complications, like eyelid malposition, ptosis and protective or corrective surgery in the form of ectropion correction, skin grafting and other rehabilitative procedures. Conclusion To the best of our knowledge, this is the largest series of periocular necrotising fasciitis in the literature. Necrotising fasciitis is a potentially fatal condition, resulting in a high rate of mortality and morbidity. Early surgical intervention reduces the mortality. A high index of suspicion is needed to make a prompt diagnosis. These patients need expeditious intervention and may require a long follow-up and subsequent surgery for complications related to scarring and other sequelae.

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“…It usually affects the extremities, the abdominal and inguinal region, and sometimes the periorbital region [2,5,9,10,14].…”

Section: Introductionmentioning

confidence: 99%

Periorbital necrotising fasciitis due to Cryptococcus neoformans in a healthy young man

Doorenbos-Bot¹,

Hooymans²,

Blanksma³

1990

Doc Ophthalmol

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A case report is presented of a healthy 25-year-old man who developed a periorbital necrotising fasciitis after a trivial trauma with a wooden splinter. Necrotising fasciitis of the eyelids occurs rarely. Cryptococcus neoformans is not described as a causative factor of necrotizing fasciitis. Cryptococcus neoformans usually infects patients with immunodeficiencies, diabetes mellitus or steroid therapy. This patient was healthy and developed a periorbital necrotising fasciitis due to Cryptococcus neoformans.

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A fatal case of necrotising fasciitis of the eyelid.

Cited by 36 publications

References 15 publications

Necrotizing fasciitis: Diagnosis and management of an occult infective focus

Necrotizing fasciitis: Diagnosis and management of an occult infective focus

Multidisciplinary management of periocular necrotising fasciitis: a series of 11 patients

Periorbital necrotising fasciitis due to Cryptococcus neoformans in a healthy young man

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