PURPOSE: To describe a patient who developed early signs of necrotizing fasciitis after undergoing laser blepharoplasty. METHODS: A 36-year-old woman developed wound discharge, wound dehiscence, and facial swelling 66 hours postblepharoplasty. Cloxacillin was administered but changed to high-dose intravenous penicillin G and clindamycin when the eyelid cultures grew group A streptococcus (an organism capable of causing necrotizing fasciitis organism). RESULTS: The patient was treated with intravenous antibiotics for 10 days followed by 3 weeks of oral medications. The wounds healed spontaneously with an excellent result. CONCLUSIONS: Infection postblepharoplasty is rare. When it occurs, tissue destruction can be potentially devastating. Prompt diagnosis, intravenous antibiotics, and close follow-up are essential.
PURPOSE: To describe a patient who developed early signs of necrotizing fasciitis after undergoing laser blepharoplasty. METHODS: A 36-year-old woman developed wound discharge, wound dehiscence, and facial swelling 66 hours postblepharoplasty. Cloxacillin was administered but changed to high-dose intravenous penicillin G and clindamycin when the eyelid cultures grew group A streptococcus (an organism capable of causing necrotizing fasciitis organism). RESULTS: The patient was treated with intravenous antibiotics for 10 days followed by 3 weeks of oral medications. The wounds healed spontaneously with an excellent result. CONCLUSIONS:Infection postblepharoplasty is rare. When it occurs, tissue destruction can be potentially devastating. Prompt diagnosis, intravenous antibiotics, and close follow-up are essential.
Authors: Christian Schurr; M Burghartz; T Miethke; M Kesting; N Hoang; R Staudenmaier Journal: Eur Arch Otorhinolaryngol Date: 2008-11-29 Impact factor: 2.503
Authors: Tri Rejeki Herdiana; Yasuhiro Takahashi; Ma Regina Paula Valencia; Marian Grace Ana-Magadia; Hirohiko Kakizaki Journal: Case Rep Ophthalmol Date: 2018-05-24