Necrotizing fasciitis after cosmetic blepharoplasty.
OBJECTIVE
To report a case of necrotizing fasciitis after cosmetic blepharoplasty.


METHODS
Case report. A 74-year-old woman with history of type II diabetes mellitus underwent bilateral upper eyelid blepharoplasty. Postoperatively she developed fever, grayish discoloration of the skin, violaceous bullae, and a right facial nerve palsy. Necrotizing fasciitis was diagnosed and treated with intravenous antibiotics, debridement of necrotic tissue, and hyperbaric oxygen therapy.


RESULTS
The infection resolved, but the patient required reconstruction for correction of cicatricial ectropion.


CONCLUSIONS
Necrotizing fasciitis is a potentially fatal infection that typically occurs in the setting of trauma. Early recognition of its pathognomonic signs and aggressive management are paramount.
Suñer
I J
IJ
Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Florida, USA. ijsuner@hotmail.com
Meldrum
M L
ML
Johnson
T E
TE
Tse
D T
DT
D000368:Aged; D019882:Blepharoplasty / Q000009:adverse effects*; D003646:Debridement; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005143:Eyelids / Q000382:microbiology / Q000601:surgery*; D005158:Facial Paralysis / Q000209:etiology; D019115:Fasciitis, Necrotizing / Q000209:etiology* / Q000382:microbiology / Q000628:therapy; D005260:Female; D005334:Fever / Q000209:etiology; D006801:Humans; D006931:Hyperbaric Oxygenation; D008795:Metronidazole / Q000627:therapeutic use; D012871:Skin Diseases / Q000209:etiology; D013297:Streptococcus pyogenes / Q000302:isolation & purification; D014640:Vancomycin / Q000627:therapeutic use
D008795:Metronidazole; D014640:Vancomycin