A child with rapidly progressive necrotizing group a streptococcal Tenon's capsule infection one day after strabismus surgery.
Periorbital infections after strabismus surgery are rare. We describe the first reported case of necrotizing group A streptococcal infection of the conjunctiva and Tenon's capsule complicating uneventful strabismus surgery in a 23-month-old boy, successfully managed with conservative intraoperative debridement and with targeted local and systemic antibiotics.
Department of Ophthalmology, Hotel Dieu Hospital, Queen's University, Kingston, Ontario, Canada.
Gary L
GL
Yau
Department of Ophthalmology, Hotel Dieu Hospital, Queen's University, Kingston, Ontario, Canada.
Daniel
D
Warder
Department of Ophthalmology, Hotel Dieu Hospital, Queen's University, Kingston, Ontario, Canada.
James P
JP
Farmer
Department of Ophthalmology, Hotel Dieu Hospital, Queen's University, Kingston, Ontario, Canada.
Todd
T
Urton
Department of Ophthalmology, Hotel Dieu Hospital, Queen's University, Kingston, Ontario, Canada. Electronic address: yining.strube@queensu.ca.
Yi Ning J
YN
Strube
D019980:Amoxicillin-Potassium Clavulanate Combination / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003234:Conjunctivitis, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D004948:Esotropia / Q000601:surgery*; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D019115:Fasciitis, Necrotizing / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D007223:Infant; D008297:Male; D009801:Oculomotor Muscles / Q000601:surgery; D013508:Ophthalmologic Surgical Procedures; D010400:Penicillin G / Q000627:therapeutic use; D013290:Streptococcal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D013297:Streptococcus pyogenes / Q000302:isolation & purification*; D058475:Tenon Capsule / Q000187:drug effects / Q000382:microbiology*; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use; D065093:beta-Lactamase Inhibitors / Q000627:therapeutic use
D000900:Anti-Bacterial Agents; D065093:beta-Lactamase Inhibitors; D019980:Amoxicillin-Potassium Clavulanate Combination; D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D010400:Penicillin G