title: Periorbital necrotising fasciitis following cutaneous herpes zoster.
abstract: Necrotising fasciitis is a rare severe infection of the soft tissues and deep fascia, which is associated with a significant level of mortality. Involvement of the head and neck is uncommon, and necrotising fasciitis of the periorbital area even rarer. We present a case of bilateral periorbital necrotising fasciitis following shingles in an otherwise healthy immunocompetent patient.
authors.affiliation: Department of Plastic Surgery, University Hospital of North Durham, North Road, Durham DH1 5TW, UK. vf@doctors.org.uk
authors.forename: Victoria
authors.initials: V
authors.lastname: Fung
authors.forename: Yosanta
authors.initials: Y
authors.lastname: Rajapakse
authors.forename: Paolo
authors.initials: P
authors.lastname: Longhi
mesh_terms: D000212:Acyclovir / Q000627:therapeutic use; D003646:Debridement / Q000379:methods; D015828:Eye Infections, Viral / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D005141:Eyelid Diseases / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D019115:Fasciitis, Necrotizing / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006562:Herpes Zoster / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D014645:Herpesvirus 3, Human / Q000187:drug effects / Q000302:isolation & purification; D006801:Humans; D008875:Middle Aged; D035583:Rare Diseases; D012720:Severity of Illness Index; D016896:Treatment Outcome
chemical_list: D000212:Acyclovir