A case of periorbital necrotizing fasciitis rapidly progressing to severe multiorgan failure

Journal of Surgical Case Reports
Paola Eiben, Sancho Rodriguez-Villar

Abstract

Periorbital necrotizing fasciitis (PNF) is a severe suppurative infection of the subcutaneous tissue and underlying fascia of the periorbital region. Typically, the course of PNF is milder and has a better prognosis than that of necrotizing fasciitis in other parts of the body. As such, this disease is thought to be associated with a significantly smaller risk of morbidity and mortality. Nevertheless, it is a rare and devastating condition that can lead to disfigurement, blindness and death. Early recognition is critical to improved patient outcomes. Here, we describe a case of PNF in a 60-year-old male that rapidly progressed to widespread systemic involvement and severe multiorgan failure requiring ventilatory, cardiovascular and renal support. Treatment included broad-spectrum antibiotics, intravenous immunoglobulin and surgical debridement. This case highlights the life-threatening nature of PNF, as demonstrated by rapid progression to multiorgan dysfunction and the need of an urgent surgical intervention.

References

Nov 10, 2009·The British Journal of Ophthalmology·Davide LazzeriMarcello Pantaloni
May 15, 2013·Orbit·Rhujuta MehtaAlan McNab
Aug 20, 2014·The British Journal of Ophthalmology·P W FlavahanS R Drummond
Feb 4, 2016·The British Journal of Ophthalmology·Saul N RajakDinesh Selva
May 31, 2016·World Journal of Emergency Surgery : WJES·Sander F L van StigtEdward C T H Tan

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