A case of acute periorbital necrotizing fasciitis
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- 作者：Nurhayati Abdul Kadir ; Syed Shoeb Ahmad ; syedshoebahmad@yahoo.com" class="auth_mail" title="E-mail the corresponding author ; Shuaibah Abdul Ghani ; Madusudhan Paramananda
- 关键词：Fasciitis ; Necrotizing ; Aspergillus ; Enucleation ; Eye
- 刊名：Journal of Acute Disease
- 出版年：2016
- 出版时间：1 March 2016
- 年：2016
- 卷：5
- 期：2
- 页码：174-176
- 全文大小：925 K
文摘
Periorbital necrotizing fasciitis is a rare but potentially fatal infection. It is most commonly caused by Gram-positive group A β-haemolytic Streptococci and rarely by fungal infections. In this report, we present a rare case of periorbital necrotizing fasciitis caused by Aspergillus species in an immunocompromised patient. He presented to us with a history of a slowly progressive eyelid necrosis leading to a loss of vision in one eye. The patient was started on an antibiotic and subsequently, surgical debridement and enucleation were performed. A few days post-operatively, yellow white mould colonies were noted to grow on the wound surface. Microbiology cultures identified them as Aspergillus species and intravenous amphotericin B 10 mg was added daily. However, despite the extensive medical and surgical treatments, he failed to respond and succumbed from septicaemia and multi-organ failure.