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J Emerg Med ; 47(3): e69-72, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-24915744

RESUMO

BACKGROUND: Orbital injury secondary to petroleum-based products is rare. We report the first case, to our knowledge, of a combined compressed air and chemical orbital injury, which mimicked necrotizing fasciitis. CASE REPORT: A 58-year-old man was repairing his motorcycle engine when a piston inadvertently fired, discharging compressed air and petroleum-based carburetor cleaner into his left eye. He developed surgical emphysema, skin necrosis, and a chemical cellulitis, causing an orbital compartment syndrome. He was treated initially with antibiotics and subsequently with intravenous steroid and orbital decompression surgery. There was almost complete recovery by 4 weeks postsurgery. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Petroleum-based products can cause severe skin irritation and necrosis. Compressed air injury can cause surgical emphysema. When these two mechanisms of injury are combined, the resulting orbitopathy and skin necrosis can mimic necrotizing fasciitis and cause diagnostic confusion. A favorable outcome is achievable with aggressive timely management.


Assuntos
Traumatismos por Explosões/complicações , Ar Comprimido/efeitos adversos , Ferimentos Oculares Penetrantes/etiologia , Fasciite Necrosante/induzido quimicamente , Órbita/lesões , Doenças Orbitárias/induzido quimicamente , Petróleo/efeitos adversos , Enfisema Subcutâneo/etiologia , Humanos , Masculino , Pessoa de Meia-Idade
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