Periocular necrotizing fasciitis causing blindness
| Autor: | David R. Shield, Annie Moreau, Jonathan E. Silbert, J. Javier Servat, Roger E. Turbin, Edward El Rassi, Flora Levin, Adam de la Garza, Sean Paul, Robert L. Lesser |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Methicillin-Resistant Staphylococcus aureus medicine.medical_specialty Disease medicine.disease_cause Blindness Eye Infections Bacterial Streptococcal Infections Orbital Diseases Medicine Humans Fasciitis Necrotizing Fasciitis High rate business.industry Streptococcus Eye infection Middle Aged Staphylococcal Infections medicine.disease Methicillin-resistant Staphylococcus aureus Combined Modality Therapy eye diseases Surgery Anti-Bacterial Agents Ophthalmology Debridement Cellulitis Eyelid Diseases Female business |
| Zdroj: | JAMA ophthalmology. 131(9) |
| ISSN: | 2168-6173 |
| Popis: | Importance Periocular necrotizing fasciitis is a rare but potentially devastating disease, accompanied by high rates of morbidity and mortality. Observations We report 5 cases of periocular necrotizing fasciitis resulting in severe vision loss, 3 of which required exenteration to contain the disease and only 1 of which recovered vision. Three cases were caused by group A streptococcus; 1, by methicillin-resistant Staphylococcus aureus ; and 1, by Streptococcus anginosus constellatus . Conclusions and Relevance Providers should maintain a high clinical suspicion for necrotizing fasciitis and distinguish it from more common forms of cellulitis. As seen in these 5 cases, periocular necrotizing fasciitis may cause severe visual loss more often than previously recognized. To our knowledge, this is also the first report of Streptococcus anginosus constellatus causing necrotizing fasciitis. |
| Databáze: | OpenAIRE |
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