Necrotising fasciitis (NF), commonly referred to as 'flesh-eating disease', is a rare but life-threatening infection. It rapidly affects subcutaneous tissue, leading to necrosis of the overlying skin. Though primarily seen in the abdomen, perineum and lower limbs, periorbital involvement is rare. This case report presents an elderly male with periorbital NF following a minor head injury. The patient presented with bilateral periorbital swelling, purulent discharge and necrotic tissue. Microbiological analysis revealed a rare species as the causative pathogen. MRI and microbiological analysis confirmed the diagnosis. Treatment included intravenous antibiotics, surgical debridement and skin grafting. The patient showed significant improvement post-treatment. This case underscores the importance of prompt diagnosis and treatment to prevent severe complications.
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http://dx.doi.org/10.1136/bcr-2024-262567 | DOI Listing |
Infect Drug Resist
January 2025
Department of Critical Care Medicine, Jiangshan People's Hospital, Quzhou, People's Republic of China.
Hypervirulent (hvKp) has attracted increasing attention in recent years. Diabetes and serotype K1 or K2 are risk factors for invasive liver abscess syndrome including liver abscesses and the metastatic complications such as bacteremia, meningitis, endophthalmitis, and necrotizing fasciitis. Simultaneous infections of the liver, lungs, prostate, brain, and eyes are exceedingly rare.
View Article and Find Full Text PDFCureus
December 2024
Internal Medicine, Baylor Scott and White Health, Fort Worth, USA.
Unlike other skin and soft tissue infections, necrotizing fasciitis (NF) is a rare and potentially life-threatening condition. It is usually caused by polymicrobial infections or monomicrobial gram-positive organisms, mainly and . Monomicrobial gram-negative () NF is a rare form of NF, primarily reported in patients with underlying comorbidities or immunocompromised states.
View Article and Find Full Text PDFSingapore Med J
January 2025
Department of Orthopaedic Surgery, National University Health System, Singapore.
Introduction: Increasing age is associated with an increased incidence of necrotising fasciitis. In this study, we aimed to compare the clinical presentation, investigations, microbiology and clinical outcome in elderly (age ≥60 years) and nonelderly (age <60 years) patients with extremity necrotising fasciitis.
Methods: A retrospective review of patients with extremity necrotising fasciitis who were surgically treated between January 2005 and December 2021 was conducted.
Cureus
December 2024
Urology, SSM Health Saint Louis University Hospital, Saint Louis, USA.
Introduction Fournier's gangrene (FG) is a rapidly progressing necrotizing fasciitis. The Fournier's Gangrene Severity Index (FGSI), in conjunction with the Charlson Comorbidity Index (CCI), has been used as a mortality predictor during hospitalization. Patients with diabetes have also been shown to be at an increased risk for the development of FG.
View Article and Find Full Text PDFActa Ortop Mex
January 2025
Centro Médico ABC, Ciudad de México. México.
This review article will cover both general aspects of hand infections and the most common superficial hand infections. Hand and wrist infections are commonly encountered in clinical practice both by the generalist orthopaedic surgeon and the hand surgeon. Clinically, they appear as a spectrum, from easy to resolve superficial infections, to life and limb threatening deep infections (for example, necrotizing fasciitis).
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