Bilateral periocular necrotizing fasciitis with unilateral orbital involvement

被引：3
|
作者：
Heichel, Jens [1 ]
Griebsch, Max [1 ]
Siebolts, Udo [2 ]
Wickenhauser, Claudia [2 ]
Viestenz, Arne [1 ]
机构：
[1] Martin Luther Univ Halle Wittenberg, Univ Klin & Poliklin Augenheilkunde, Ernst Grube Str 40, D-06120 Halle, Germany
[2] Martin Luther Univ Halle Wittenberg, Inst Pathol, D-06112 Halle, Germany
来源：
OPHTHALMOLOGE | 2020年 / 117卷 / 11期
关键词：
Infection; Streptococcus; Staphylococcus; Aspergillus; Toxic shock syndrome;
D O I：
10.1007/s00347-020-01078-6
中图分类号：
R77 [眼科学];
学科分类号：
100212 ;
摘要：
The case of an 82-year-old woman with bilateral necrotizing fasciitis and unilateral orbital involvement is presented. A mixed infection consisting ofStreptococcus pyogenes,Staphylococcus aureus, andAspergillus fumigatuscould be verified. The latter was detected by molecular pathological investigations. Treatment consisted of repeated surgical debridement in combination with systemic broad-spectrum antibiotic and antimycotic treatment. Furthermore, the patient received low-dose systemic corticosteroids. After remission of acute inflammation, the healing process by secondary intention was uneventful.
引用
收藏
页码：1121 / 1125
页数：5
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