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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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Autores principales: Günel, Ceren, Eryılmaz, Aylin, Başal, Yeşim, Toka, Ali
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4189517/
https://www.ncbi.nlm.nih.gov/pubmed/25309766
http://dx.doi.org/10.1155/2014/723408
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author Günel, Ceren
Eryılmaz, Aylin
Başal, Yeşim
Toka, Ali
author_facet Günel, Ceren
Eryılmaz, Aylin
Başal, Yeşim
Toka, Ali
author_sort Günel, Ceren
collection PubMed
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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spelling pubmed-41895172014-10-12 Periorbital Necrotising Fasciitis after Minor Skin Trauma Günel, Ceren Eryılmaz, Aylin Başal, Yeşim Toka, Ali Case Rep Otolaryngol Case Report 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. Hindawi Publishing Corporation 2014 2014-09-21 /pmc/articles/PMC4189517/ /pubmed/25309766 http://dx.doi.org/10.1155/2014/723408 Text en Copyright © 2014 Ceren Günel et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Günel, Ceren
Eryılmaz, Aylin
Başal, Yeşim
Toka, Ali
Periorbital Necrotising Fasciitis after Minor Skin Trauma
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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4189517/
https://www.ncbi.nlm.nih.gov/pubmed/25309766
http://dx.doi.org/10.1155/2014/723408
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