Periorbital Necrotising Fasciitis after Minor Skin Trauma

Necrotizing fasciitis (NF) is a fatal and rare disease, mainly located in extremity and body. Due to the good blood supply, the occurrence of this infective disease of skin and subcutaneous tissue/fascia is much rarer in the head and neck region. In this study, we represent periorbital necrotizing f...

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Main Authors: Ceren Günel, Aylin Eryılmaz, Yeşim Başal, Ali Toka
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2014/723408
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author Ceren Günel
Aylin Eryılmaz
Yeşim Başal
Ali Toka
author_facet Ceren Günel
Aylin Eryılmaz
Yeşim Başal
Ali Toka
author_sort Ceren Günel
collection DOAJ
description Necrotizing fasciitis (NF) is a fatal and rare disease, mainly located in extremity and body. Due to the good blood supply, the occurrence of this infective disease of skin and subcutaneous tissue/fascia is much rarer in the head and neck region. In this study, we represent periorbital necrotizing fasciitis case in a patient with normal immune system. The patient applied the emergency clinic with the complaints of swelling and redness on the left eye. It was found out that a skin incision occurred at 2 cm below the left eye with razor blade 2 days ago. After taking swab culture sample, patient was started on parenteral Vancomycin + Ampicillin-Sulbactam treatment. It was observed that necrosis spread within hours and an emergent deep surgical debridement was performed. Following the debridement, it was observed that periorbital edema began to regress prominently on the 1st day of the treatment. Treatment was carried on with daily wound care and parenteral antibiotherapy. The patient was discharged from the hospital with slightly cosmetic defect.
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series Case Reports in Otolaryngology
spelling doaj-art-f7bc3d6f37974cc18ab35e3590cf9afb2025-02-03T01:10:32ZengWileyCase Reports in Otolaryngology2090-67652090-67732014-01-01201410.1155/2014/723408723408Periorbital Necrotising Fasciitis after Minor Skin TraumaCeren Günel0Aylin Eryılmaz1Yeşim Başal2Ali Toka3Department of Otorhinolaryngology-Head and Neck Surgery, Medical Faculty, Adnan Menderes University, KBB AD, Aytepe Mevkii, 09100 Aydın, TurkeyDepartment of Otorhinolaryngology-Head and Neck Surgery, Medical Faculty, Adnan Menderes University, KBB AD, Aytepe Mevkii, 09100 Aydın, TurkeyDepartment of Otorhinolaryngology-Head and Neck Surgery, Medical Faculty, Adnan Menderes University, KBB AD, Aytepe Mevkii, 09100 Aydın, TurkeyDepartment of Otorhinolaryngology-Head and Neck Surgery, Medical Faculty, Adnan Menderes University, KBB AD, Aytepe Mevkii, 09100 Aydın, TurkeyNecrotizing fasciitis (NF) is a fatal and rare disease, mainly located in extremity and body. Due to the good blood supply, the occurrence of this infective disease of skin and subcutaneous tissue/fascia is much rarer in the head and neck region. In this study, we represent periorbital necrotizing fasciitis case in a patient with normal immune system. The patient applied the emergency clinic with the complaints of swelling and redness on the left eye. It was found out that a skin incision occurred at 2 cm below the left eye with razor blade 2 days ago. After taking swab culture sample, patient was started on parenteral Vancomycin + Ampicillin-Sulbactam treatment. It was observed that necrosis spread within hours and an emergent deep surgical debridement was performed. Following the debridement, it was observed that periorbital edema began to regress prominently on the 1st day of the treatment. Treatment was carried on with daily wound care and parenteral antibiotherapy. The patient was discharged from the hospital with slightly cosmetic defect.http://dx.doi.org/10.1155/2014/723408
spellingShingle Ceren Günel
Aylin Eryılmaz
Yeşim Başal
Ali Toka
Periorbital Necrotising Fasciitis after Minor Skin Trauma
Case Reports in Otolaryngology
title Periorbital Necrotising Fasciitis after Minor Skin Trauma
title_full Periorbital Necrotising Fasciitis after Minor Skin Trauma
title_fullStr Periorbital Necrotising Fasciitis after Minor Skin Trauma
title_full_unstemmed Periorbital Necrotising Fasciitis after Minor Skin Trauma
title_short Periorbital Necrotising Fasciitis after Minor Skin Trauma
title_sort periorbital necrotising fasciitis after minor skin trauma
url http://dx.doi.org/10.1155/2014/723408
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AT alitoka periorbitalnecrotisingfasciitisafterminorskintrauma