Periorbital necrotising fasciitis in infants: Presentation and management of six cases

Tropical Doctor
Saurbhi KhuranaMandeep Bajaj

Abstract

To present the clinical features and management of infants presenting with periorbital necrotising fasciitis (NF). Retrospective case series. Six children were studied. The age at presentation was in the range of 5-11 months (median, 8 months). All children presented with acute onset eyelid inflammation and necrosis with fever, lethargy and poor oral intake. The management included intravenous antibiotics and repeated surgical debridement. The infection healed by 2-3 weeks in all cases, resulting in cicatricial ectropion and lagophthalmos. Full thickness skin grafting (with a Hughes tarso-conjunctival graft in one child) was performed in all patients at 3-5 weeks subsequently. Repeat surgery was required in three children. Adequate globe coverage and cosmesis was achieved in five children. NF of eyelids is a potentially fatal infection that requires urgent and vigorous management and heals with sequelae that may need more than one surgical intervention over a period of time. Adequate cosmetic and functional outcomes can be achieved.

References

Aug 1, 1992·Clinical Otolaryngology and Allied Sciences·S R WilliamsA P Brightwell
Jan 25, 1996·The New England Journal of Medicine·A L Bisno, D L Stevens
Mar 4, 2000·Eye·F G BarapoutiR Sampath
Nov 5, 2002·Ophthalmology·Jason A LuksichMorris E Hartstein
Sep 26, 2006·Ophthalmology·Victor M ElnerAdam S Hassan
Nov 21, 2007·Journal of Pediatric Surgery·Meltem Bingöl-KoloğluHüseyin Dindar
Nov 10, 2009·The British Journal of Ophthalmology·Davide LazzeriMarcello Pantaloni
Aug 20, 2014·The British Journal of Ophthalmology·P W FlavahanS R Drummond

❮ Previous
Next ❯

Citations

Jul 2, 2019·Current Opinion in Ophthalmology·Katherine J Williams, Richard C Allen
Apr 13, 2019·BMC Infectious Diseases·Arne SchröderChristina Oetzmann von Sochaczewski
Jun 27, 2021·Burns : Journal of the International Society for Burn Injuries·J SomasundaramA D Rogers

❮ Previous
Next ❯

Methods Mentioned

BETA
ESR

Related Concepts

Related Feeds

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.