title: Eyelid necrotizing fasciitis: what were the early signs?
abstract: BACKGROUND
  Necrotizing fasciitis is a rare, life-threatening subcutaneous soft tissue infection that causes massive tissue destruction.
  
  
  OBJECTIVE
  To illustrate the warning signs of this condition by reporting a rare case of eyelid necrotizing fasciitis.
  
  
  METHODS
  A previously healthy 22-year-old man presented with a preseptal eyelid infection that spread rapidly despite prompt treatment with several intravenous antibiotics. He developed the characteristic clinical and radiologic features of necrotizing fasciitis, and required surgical debridement to cure the infection. Histology confirmed the diagnosis.
  
  
  CONCLUSIONS
  In this article, we suggest the indicators that may enable physicians to think of the development of necrotizing fasciitis in patients with infections of the skin and subcutis.
authors.affiliation: Department of Ophthalmology, East Surrey Hospital, Redhill, United Kingdom.
authors.forename: Anish N
authors.initials: AN
authors.lastname: Shah
authors.forename: Alexander C
authors.initials: AC
authors.lastname: Day
authors.forename: Vourneen C
authors.initials: VC
authors.lastname: Healy
authors.forename: Jane M
authors.initials: JM
authors.lastname: Olver
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002097:C-Reactive Protein / Q000032:analysis; D003646:Debridement; D004487:Edema / Q000209:etiology; D015818:Eye Infections, Bacterial / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy; D005141:Eyelid Diseases / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy; D019115:Fasciitis, Necrotizing / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy; D006801:Humans; D007964:Leukocytosis / Q000209:etiology; D008297:Male; D013290:Streptococcal Infections / Q000175:diagnosis / Q000188:drug therapy; D013297:Streptococcus pyogenes / Q000302:isolation & purification; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents; D002097:C-Reactive Protein