title: Medical management of periorbital necrotising fasciitis.
abstract: Necrotising fasciitis (NF) is a rapidly progressing necrotizing infection of the subcutaneous tissue and superficial fascia with secondary necrosis of overlying skin. Periorbital NF, albeit uncommon, has a reported mortality of 8-15% and rate of vision loss of 13.8%. Early surgical debridement has been advocated as a critical factor in the management of these patients however, emerging reports describe successful outcomes with intravenous antibiotic therapy alone. We describe a patient who was treated conservatively with good results.
authors.affiliation: Royal Victorian Eye and Ear Hospital, East Melbourne, Australia.
authors.forename: Rhujuta
authors.initials: R
authors.lastname: Mehta
authors.forename: Anupma
authors.initials: A
authors.lastname: Kumar
authors.forename: Carmel
authors.initials: C
authors.lastname: Crock
authors.forename: Alan
authors.initials: A
authors.lastname: McNab
mesh_terms: D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D019115:Fasciitis, Necrotizing / Q000175:diagnosis* / Q000628:therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D009916:Orbital Diseases / Q000175:diagnosis* / Q000628:therapy