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Necrotizing Fasciitis Following Herpes Zoster Ophthalmicus in an Immunocompromised Patient.
- Source :
-
Case reports in ophthalmological medicine [Case Rep Ophthalmol Med] 2019 Jan 20; Vol. 2019, pp. 4534153. Date of Electronic Publication: 2019 Jan 20 (Print Publication: 2019). - Publication Year :
- 2019
-
Abstract
- Necrotizing fasciitis (NF) is a rare infection that spreads rapidly along the subcutaneous soft tissue planes. NF rarely involves the periorbital region due to the excellent blood supply of this region. We report a case of periorbital necrotising fasciitis following herpes zoster (HZ) in an immunocompromised 70-year-old patient with a dramatically rapid evolution into septic shock. In our patient, the surprisingly rapid spread of the bacterial superinfection led the periorbital cellulitis to turn into frank NF within 2 hours, with an overwhelming evolution. Despite the prompt start of a systemic antibiotic therapy and the immediate surgical intervention, the patient had a septic shock; she was treated in ITU for 31 days and then discharged to a medical ward and eventually died for a mix of complications of the medical treatment and comorbidities. This case is unique because any documented cases of periorbital NF triggered by HZ had never led to a septic shock and death. Ophthalmologists should be aware that even common skin lesions caused by shingles can determine a dramatic clinical picture, in presence of predisposing factors.
Details
- Language :
- English
- ISSN :
- 2090-6722
- Volume :
- 2019
- Database :
- MEDLINE
- Journal :
- Case reports in ophthalmological medicine
- Publication Type :
- Report
- Accession number :
- 30805235
- Full Text :
- https://doi.org/10.1155/2019/4534153