| Autor: |
Pertea M; Faculty of Medicine, 'Grigore T Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Department of Plastic Surgery and Reconstructive Microsurgery, 'Sf. Spiridon' Emergency County Hospital, 700111 Iasi, Romania., Fotea MC; Department of Plastic Surgery and Reconstructive Microsurgery, 'Sf. Spiridon' Emergency County Hospital, 700111 Iasi, Romania., Luca S; Faculty of Medicine, 'Grigore T Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Department of Plastic Surgery and Reconstructive Microsurgery, 'Sf. Spiridon' Emergency County Hospital, 700111 Iasi, Romania., Moraru DC; Faculty of Medicine, 'Grigore T Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Department of Plastic Surgery and Reconstructive Microsurgery, 'Sf. Spiridon' Emergency County Hospital, 700111 Iasi, Romania., Filip A; Faculty of Medicine, 'Grigore T Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Department of Orthopaedics and Traumatology, 'Sf. Spiridon' Emergency County Hospital, 700111 Iasi, Romania., Olinici-Temelie D; Faculty of Medicine, 'Grigore T Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Department of Dermatology, 'Sf. Spiridon' Emergency County Hospital, 700111 Iasi, Romania., Lunca S; Faculty of Medicine, 'Grigore T Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Second Surgery Clinic, Regional Institute of Oncology, 700483 Iasi, Romania., Carp AC; Faculty of Medicine, 'Grigore T Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Department of Orthopaedics and Traumatology, 'Sf. Spiridon' Emergency County Hospital, 700111 Iasi, Romania., Grosu OM; Faculty of Medicine, 'Grigore T Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Department of Plastic Surgery and Reconstructive Microsurgery, 'Sf. Spiridon' Emergency County Hospital, 700111 Iasi, Romania., Amarandei A; Department of Plastic Surgery and Reconstructive Microsurgery, 'Sf. Spiridon' Emergency County Hospital, 700111 Iasi, Romania., Veliceasa B; Faculty of Medicine, 'Grigore T Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania.; Department of Orthopaedics and Traumatology, 'Sf. Spiridon' Emergency County Hospital, 700111 Iasi, Romania. |
| Abstrakt: |
(1) Background: Necrotizing fasciitis (NF) is a severe and aggressive pathology with a rapid progression and high mortality risk. Periocular NF is a rare condition associated with a lower mortality risk but significantly higher disabling sequelae. (2) Methods: We present the case of a 67-year-old homeless patient, a victim of assault, with multiple untreated comorbidities (diabetes mellitus, cardiac conditions, and schizophrenia) and a delayed diagnosis of periocular necrotizing fasciitis. The condition showed a cyclical evolution influenced by the existing comorbidities, and the patient underwent both surgical and medical treatment with a multidisciplinary team. Additionally, we report a systematic review of cases from the literature. (3) Results: The patient's survival outcomes were favorable; however, the sequelae were disabling, not only concerning aesthetic aspects but also due to the loss of the affected eye globe. The systematic review revealed the rarity of such cases and the peculiarities of the presented case compared to those reported in the literature up to this point. (4) Conclusions: Understanding the signs, symptoms, and predisposing factors, as well as the potential rare localizations of NF, including the periocular region, can lead to the early diagnosis and treatment with good functional and aesthetic outcomes, minimizing significant disabilities. |
