[Facial necrotizing fasciitis after mild trauma of the eyelid: role of nonsteroidal anti-inflammatory treatment].
Facial necrotizing fasciitis is a rare but potentially serious and fatal infection, especially in children. We report the case of a five-year-old girl who developed rapidly progressive necrotizing fasciitis of the face secondary to a mild trauma, with a small wound in the upper eyelid. She had received nonsteroidal anti-inflammatory treatment before she was referred to our hospital. Despite surgical debridement of necrotic tissues and intravenous antibiotic therapy, recurrence occurred. Final progression was satisfactory without sequelae. We discuss here the role of nonsteroidal anti-inflammatory drugs in the development of necrotizing fasciitis in cutaneous lesions, whether traumatic or not.
Robin
A
A
Service d'ophtalmologie B, CHU Nancy-Brabois, allée du Morvan, 54511 Vandœuvre-lès-Nancy cedex, France.
Méry
G
G
George
J-L
JL
Maalouf
T
T
Angioi
K
K
D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000009:adverse effects*; D002675:Child, Preschool; D005143:Eyelids / Q000293:injuries*; D005148:Facial Dermatoses / Q000209:etiology*; D019115:Fasciitis, Necrotizing / Q000209:etiology*; D005260:Female; D006801:Humans; D015601:Injury Severity Score
D000894:Anti-Inflammatory Agents, Non-Steroidal