Periorbital necrotizing fasciitis: clinical perspectives on nine cases.

Autor: Oliver-Gutierrez D; Ophthalmology Department, Hospital Universitari Vall d'Hebron, Barcelona, Spain. davidoliguti@gmail.com.; Ophthalmology Department, Verte Oftalmología Barcelona, Barcelona, Spain. davidoliguti@gmail.com.; Departament de Cirugia, Universitat Autònoma de Barcelona (UAB), Barcelona, Spain. davidoliguti@gmail.com., van der Veen RLP; Ophthalmology Department, Centro Oftalmológico Barraquer, Barcelona, Spain.; Institut Universitari Barraquer, Universitat Autònoma de Barcelona, Barcelona, Spain., Ros-Sánchez E; Ophthalmology Department, Hospital Universitari Vall d'Hebron, Barcelona, Spain., Segura-Duch G; Ophthalmology Department, Verte Oftalmología Barcelona, Barcelona, Spain.; Ophthalmology Department, Centro Oftalmológico Barraquer, Barcelona, Spain.; Institut Universitari Barraquer, Universitat Autònoma de Barcelona, Barcelona, Spain., Alonso T; Ophthalmology Department, Hospital Universitari Vall d'Hebron, Barcelona, Spain., Herranz-Cabarcos A; Ophthalmology Department, Consorci Sanitari Integral Moisés Broggi, Sant Joan Despi, Barcelona, Spain., Matas J; Ophthalmology Department, Hospital Clínic Barcelona, Barcelona, Spain., Castro Seco R; Ophthalmology Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain., Arcediano MÁ; Ophthalmology Department, Hospital Universitari Vall d'Hebron, Barcelona, Spain., Zapata MÁ; Ophthalmology Department, Hospital Universitari Vall d'Hebron, Barcelona, Spain., Oliveres J; Ophthalmology Department, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Jazyk: angličtina
Zdroj: European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology [Eur J Clin Microbiol Infect Dis] 2024 Oct; Vol. 43 (10), pp. 2053-2059. Date of Electronic Publication: 2024 Jul 31.
DOI: 10.1007/s10096-024-04908-6
Abstrakt: A multicenter review of Periorbital Necrotizing Fasciitis including nine cases, aged 41 to 82, mostly female, and mainly post-traumatic or idiopathic. Streptococcus pyogenes was the most frequent pathogen. Treatment involved debridement alongside antibiotic therapy in all cases. Two cases experienced toxic shock, with no fatalities. Visual outcomes varied from exenteration to preserved visual acuity with minimal aesthetic impact. Early detection and prompt intervention are paramount due to the significant risks associated with this condition, which may lead to severe complications ranging from vision loss to systemic decline or death.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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