Work

Life-threatening periocular pseudomonal necrotizing fasciitis in an immunocompetent infant

Year: 2024

Type: article

Abstract: Purpose: Necrotizing fasciitis, a severe soft tissue bacterial infection, is uncommon in the periocular region due to its rich blood supply. This report highlights a rare case in an immunocompetent infant. Observations: A 10-month-old immunocompetent female exhibited fever, irritability, and right eyelid swelling post-fall. Despite initial treatment with cephalexin for presumed cellulitis, her condition rapidly deteriorated, suggesting necrotizing fasciitis. She stabilized after receiving broad-spectrum intravenous antibiotics and aggressive surgical debridement but later required orbital exenteration due to extensive tissue necrosis. Conclusions and Importance: Periocular necrotizing fasciitis is exceedingly rare, particularly in immunocompetent individuals. Prompt diagnosis and treatment are critical to mitigate morbidity and mortality.

Source: American Journal of Ophthalmology Case Reports

DOI: 10.1016/j.ajoc.2024.102149

Authors: Leora Abrams, Nathan Pirakitikulr, Daniel B. Rootman

Institutions: University of Nevada, Las Vegas, University of California, Los Angeles

Language: English

Topic: Streptococcal Infections and Treatments

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,340