Facial necrotizing fasciitis following acute dacryocystitis.

Abstract:

PURPOSE:To report a case of progressive necrotizing fasciitis of the face following acute dacryocystitis. DESIGN:Interventional case report. METHODS:A 60-year-old woman presented with left acute dacryocystitis with abscess formation that had ruptured; a small wound remained. Erythematous swelling of the left eyelid and face developed 3 days later. Clinical progression and computed tomographic findings led to the diagnosis of necrotizing fasciitis with abscess formation. Early intravenous antibiotics and repeated surgical debridements were performed. RESULTS:Soft tissue necrosis was found the fascial planes extending deep to the maxilla bone and periorbital fat. The patient was successfully treated without ocular, orbital, or facial complications. CONCLUSIONS:Necrotizing fasciitis of the eyelid and face progresses rapidly. Early diagnosis, prompt intravenous antibiotic administration, and aggressive surgical debridement will prevent the associated morbidity and mortality.

journal_name

Am J Ophthalmol

authors

Lin PW,Lin HC

doi

10.1016/s0002-9394(03)00089-8

subject

Has Abstract

pub_date

2003-07-01 00:00:00

pages

203-4

issue

1

eissn

0002-9394

issn

1879-1891

pii

S0002939403000898

journal_volume

136

pub_type

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