Bilateral periorbital necrotizing fasciitis: case report

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Arquivos
art_LEONARDO_Bilateral_periorbital_necrotizing_fasciitis_case_report_2018.PDF (327.44 KB)
Citações na Scopus
3
Tipo de produção
article
Data de publicação
2018
DOI
SciELO
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
CONSEL BRASIL OFTALMOLOGIA
Autores
LEONARDO, Fabio Henrique Luiz
ANABUKI, Mariana
Citação
ARQUIVOS BRASILEIROS DE OFTALMOLOGIA, v.81, n.3, p.239-241, 2018
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Necrotizing fasciitis is a severe infection of the subcutaneous tissue characterized by necrosis of the superficial fascia and overlying skin and is usually associated with previous trauma and comorbidities. Periorbital necrotizing fasciitis is rare and commonly causes visual loss and soft tissue defects. A better prognosis relies critically on early diagnosis, prompt medical treatment, and timely surgical intervention. We describe a rare case of periorbital necrotizing fasciitis in the absence of an inciting event. A 55-year-old female patient presented with acute painful swelling and redness of the right upper eyelid that spread to both eyelids bilaterally within 24 h. We swiftly started the patient on intravenous antibiotic therapy, and we surgically debrided the necrotic tissue the following day. We performed two further procedures to improve eyelid closure and appearance. Despite the severe presentation, timely antibiotic therapy and proper surgical interventions led to a successful outcome in this case.
Palavras-chave
Fasciitis, necrotizing, Eye infections, bacterial, Orbital diseases, Reconstructive surgical procedures, Subcutaneous tissue, Case reports
URI
https://observatorio.fm.usp.br/handle/OPI/28362
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Coleções
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/33