Periorbital necrotising fasciitis secondary to scratching

Autor: E. España-Gregori, J. Safont-Albert, A. Rodrigo-Hernández, C. Martínez-Rubio, M.Á. Bort-Martí, I.A. Placinta
Rok vydání: 2019
Předmět:
Staphylococcus aureus
medicine.medical_specialty
Streptococcus pyogenes
medicine.medical_treatment
Necrotising fasciitis
Mupirocin
Lacerations
03 medical and health sciences
chemistry.chemical_compound
0302 clinical medicine
Streptococcal Infections
medicine
Humans
Medical history
Fasciitis
Necrotizing
Fibrinoid necrosis
Aged
80 and over
Debridement
business.industry
Fascitis necrosante periorbitaria
Insect bite
Linezolid
Periorbital necrotising fasciitis
Picadura de insecto
Rascado
Scratching
Streptococcal toxic shock syndrome
Streptococcus pyogenes
Síndrome de shock tóxico estreptocócico
Insect Bites and Stings
030208 emergency & critical care medicine
General Medicine
Staphylococcal Infections
medicine.disease
eye diseases
Anti-Bacterial Agents
Surgery
medicine.anatomical_structure
Palpebral fissure
chemistry
030221 ophthalmology & optometry
Itching
Female
Eyelid
medicine.symptom
business
Zdroj: Archivos de la Sociedad Espanola de Oftalmologia
r-IIS La Fe. Repositorio Institucional de Producción Científica del Instituto de Investigación Sanitaria La Fe
instname
ISSN: 0365-6691
Popis: An 80 year-old woman with no relevant medical history, consulted for worsening of right palpebral itching and pain after an insect bite. Her eyelids had areas of laceration due to scratching, which rapidly progressed to fibrinoid necrosis over the first 24hours. Lesions were cultivated, revealing Streptococcus pyogenes and Staphylococcus aureus. The patient was admitted to hospital with the diagnosis of periorbital necrotising fasciitis, in order to receive treatment with intravenous ceftriaxone, linezolid, and immediate surgical debridement. She remained in hospital for 17 days. Daily wound management consisted of debridement of necrotic remains, disinfection with chlorhexidine, and wound dressing with mupirocin, sulfadiazine, and miconazole ointments. The patient suffered streptococcal toxic shock syndrome, but she recovered over the first week. Palpebral reconstruction was performed on day 15, consisting of a preauricular total thickness skin graft for the superior eyelid, and lateral malar advancement to cover the lower eyelid. Adequate cosmetic and functional results were obtained.
Databáze: OpenAIRE
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