title: Periorbital necrotising fasciitis: delay in diagnosis results in loss of lower eyelid.
abstract: Necrotising fasciitis (NF) is an extremely rare skin and soft tissue infection with extensive necrosis of the subcutaneous tissue and underlying fascia, which usually affects the limbs and trunk. It rarely affects the head and neck region because of the excellent blood supply in this region. We report a case of NF initially misdiagnosed as a traumatic pre-septal cellulitis following self-puncture of a hordeolum externum (stye) and its resistance to aggressive antibiotic therapy resulting in the loss of the lower eyelid.
authors.affiliation: The Eye Care Centre, Leighton Hospital, Crewe CW1 4QJ, UK. drvigneshraja@gmail.com
authors.forename: Vignesh
authors.initials: V
authors.lastname: Raja
authors.forename: Raly
authors.initials: R
authors.lastname: Job
authors.forename: Alan
authors.initials: A
authors.lastname: Hubbard
authors.forename: Brendan
authors.initials: B
authors.lastname: Moriarty
mesh_terms: D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D000995:Antitubercular Agents / Q000627:therapeutic use; D019882:Blepharoplasty; D003131:Combined Modality Therapy; D003646:Debridement; D004359:Drug Therapy, Combination; D042241:Early Diagnosis; D005141:Eyelid Diseases / Q000175:diagnosis* / Q000628:therapy; D005143:Eyelids / Q000601:surgery; D019115:Fasciitis, Necrotizing / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D008297:Male; D009916:Orbital Diseases / Q000175:diagnosis* / Q000628:therapy
chemical_list: D000995:Antitubercular Agents; D000666:Amphotericin B