Streptococcal Necrotizing Fasciitis Complicating a Conjunctival Dacryocystorhinostomy
Autor: | Marc J. Hirschbein, James W. Karesh, Scott E. LaBorwit |
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Rok vydání: | 1998 |
Předmět: |
medicine.medical_specialty
medicine.medical_treatment Dacryocystorhinostomy medicine.disease_cause Eye Infections Bacterial Fatal Outcome Streptococcal Infections Humans Surgical Wound Infection Medicine Fasciitis Necrotizing Fasciitis Aged business.industry Streptococcus General Medicine Eye infection medicine.disease Connective tissue disease Anti-Bacterial Agents Surgery Ophthalmology Cellulitis Streptococcus pyogenes Drug Therapy Combination Female Tomography X-Ray Computed Complication business Conjunctiva Follow-Up Studies |
Zdroj: | Ophthalmic Plastic & Reconstructive Surgery. 14:281-285 |
ISSN: | 0740-9303 |
DOI: | 10.1097/00002341-199807000-00011 |
Popis: | Necrotizing fasciitis is a rare infection of the deep and subcutaneous tissue layers most commonly caused by group A beta-hemolytic Streptococcus. The disease begins as a typical cellulitis. Necrosis of the deeper tissues progresses rapidly, accompanied by a dusky, gray-blue skin discoloration with erythematous margins. Even with appropriate treatment, mortality rates remain as high as 36%. Most cases of necrotizing fasciitis have been reported in the general surgical literature, associated with trauma or as a postoperative wound infection after abdominal and gynecologic procedures. Of the 50 cases involving the eyelids reported in the literature, only three were reported to have occurred as a "postoperative" complication. This report is of the first known case of streptococcal necrotizing fasciitis complicating a conjunctival dacryocystorhinostomy. |
Databáze: | OpenAIRE |
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