A presentation of facial necrotizing fasciitis with orbital involvement

McAllister, Peter; O’Neill, Francis; Bharadwaj, Girish; O’Regan, Barry; Laverick, Sean

doi:10.1093/jscr/rjs033

Cited by 4 publications

(6 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Blood investigations (often characterised by a markedly elevated white cell count), microbiological and histopathological analysis will aid diagnosis, but NSTI is a clinical diagnosis and should be acted upon immediately. [1][2][3][4] A diagnostic tool for distinguishing NSTI from other soft tissue infections was developed by Wong et al 7 in 2004: the laboratory risk indicator for necrotising fasciitis (LRINEC) score (Table 1). This tool includes six parameters and has a reported positive predictive value of 92.0% and negative predictive value of 96.0%.…”

Section: Discussionmentioning

confidence: 99%

“…Timing of initial surgical intervention is the most important prognostic determinant in NSTI. [1][2][3][4][5][6][7][8][9] Nisbet et al 11 reported in a case series of 82 adult patients that a 43% mortality rate existed when surgical input was greater than 24 h from recognition of infection; when surgery occurred within 24 h, this figure decreases to 16%. Early identification is clearly crucial in management of NSTI; however, it has been shown that NSTI is correctly diagnosed prior to admission to hospital only 14% of the time.…”

Section: Discussionmentioning

confidence: 99%

“…1 Complications include sepsis, requirement for eye exenteration, meningitis and -as is often the case -mortality. 3 NSTI is often initiated by a relatively innocuous soft tissue injury. 2 The infection tracks along avascular fascial planes, where antibiotic penetration is limited.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Periorbital necrotising soft tissue infection in a 12-year-old patient

et al. 2018

View full text Add to dashboard Cite

Head and neck necrotising soft-tissue infection is exceptionally uncommon in the paediatric population. necrotising soft-tissue infection is severe and often life-threatening. Rapid spread of infection and systemic illness make necrotising soft-tissue infection a challenge for the medical and surgical teams. Early identification and surgical intervention are essential for a favourable patient outcome. This report details the case of periorbital necrotising soft-tissue infection in a 12-year-old male patient following an uncomplicated facial laceration. Prompt surgical debridement with planned return visits to theatre and guided empirical antibiotic therapy ensured that a satisfactory patient outcome was achieved. The failure of current necrotising soft-tissue infection diagnostic scoring tools to be positive in this case may suggest that these tools require refinement and validation.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Periorbital necrotising soft tissue infection in a 12-year-old patient

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Periorbital necrotizing fasciitis is a progressive, rapidly spreading and destructive polymicrobial infection involving the skin, subcutaneous and deep soft tissue 1 . It is commonly associated with traumatic events in patients with compromised immune systems, diabetes, chronic steroid use and alcoholism.…”

Section: Introductionmentioning

confidence: 99%

Periorbital necrotizing fasciitis in a case of lid and conjunctival amyloidosis

et al. 2020

View full text Add to dashboard Cite

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.

show abstract

“…Necrotizing fasciitis is a potentially fatal, rapidly progressive soft tissue infection that involves fascial planes, initially sparing overlying skin and underlying muscle. [ 1 2 3 4 5 6 ] Necrotizing fasciitis has been referred to by many different names such as hospital gangrene, flesh eating disease, streptococcal hemolytic gangrene, synergistic necrotizing cellulitis, and Fournier's gangrene when it involved the perineum. [ 1 3 7 8 ] It was described by Joseph Jones in 1871 during the American Civil war but was first described as necrotizing fasciitis in 1952 by B.…”

Section: Introductionmentioning

confidence: 99%

Clinical parameters and challenges of managing cervicofacial necrotizing fasciitis in a Sub-Saharan tertiary hospital

et al. 2015

View full text Add to dashboard Cite

Introduction:Necrotizing fasciitis is a severe soft tissue infection. In our environment, patients presenting with this infection are usually financially incapacitated and, therefore, their management can be challenging. This paper aimed to document the pattern and challenges encountered in the management of cervicofacial necrotizing fasciitis (CNF) in the University College Hospital, Ibadan.Materials and Methods:Information such as biodata, site of infection, systemic conditions, widest span of defect, management provided, hospital stay, and outcome of management was prospectively collected on all patients with CNF who presented at the Department of Oral and Maxillofacial Surgery between January 2007 and December 2013. The patients were managed according to a devised protocol of antibiotic therapy, serial debridement and honey dressings.Results:Twenty-four cases of CNF were seen. There were 9 males and 15 females while 70.9% of the patients belonged to the low socioeconomic class. The mean span of wound defect was 12.2 (±8.844) cm. The mean hospital stay was 27.8 (±23.1) days, and scar formation was the most common complication encountered.Conclusion:Our study represents the largest series of CNF from a Nigerian health facility presently. The management of necrotizing fascitis in the maxillofacial region poses a significant challenge to both the surgeon and the patient. However, the mortality rate of CNF in our center appears comparatively low.

show abstract

A presentation of facial necrotizing fasciitis with orbital involvement

Cited by 4 publications

References 6 publications

Periorbital necrotising soft tissue infection in a 12-year-old patient

Periorbital necrotising soft tissue infection in a 12-year-old patient

Periorbital necrotizing fasciitis in a case of lid and conjunctival amyloidosis

Clinical parameters and challenges of managing cervicofacial necrotizing fasciitis in a Sub-Saharan tertiary hospital

Contact Info

Product

Resources

About