1.
BMJ Case Rep
; 20182018 Feb 22.
Article
in English
| MEDLINE
| ID: mdl-29472418
ABSTRACT
Periocular necrotising fasciitis is a rare but sight-threatening condition, which relies on clinical judgement to detect in a timely manner. A 51-year-old woman presented to a rural hospital with rapid onset bilateral eye swelling, erythema and pain and was started on broad spectrum intravenous antibiotics. Upon admission, she became septic and required fluid resuscitation and transfer to a higher level of care. She received debridement and continued intravenous antibiotics, with step down to oral when clinically stable. Rapid recognition and treatment of her condition resulted in a positive outcome.
Subject(s)
Eyelid Diseases/diagnosis , Eyelid Diseases/microbiology , Fasciitis, Necrotizing/diagnosis , Streptococcal Infections/diagnosis , Administration, Intravenous , Anti-Bacterial Agents/administration & dosage , Anti-Bacterial Agents/therapeutic use , Diagnosis, Differential , Eyelid Diseases/drug therapy , Eyelids/microbiology , Fasciitis, Necrotizing/drug therapy , Female , Humans , Middle Aged , Penicillanic Acid/analogs & derivatives , Penicillanic Acid/therapeutic use , Piperacillin/therapeutic use , Piperacillin, Tazobactam Drug Combination , Streptococcal Infections/drug therapy , Streptococcus pyogenes/isolation & purification , Vancomycin/therapeutic use
2.
CMAJ
; 189(20): E731, 2017 05 23.
Article
in English
| MEDLINE
| ID: mdl-28536133
3.
BMJ
; 345: e4466, 2012 Jul 13.
Article
in English
| MEDLINE
| ID: mdl-22797846