title: An Eye Popping Case of Orbital Necrotizing Fasciitis Treated with Antibiotics, Surgery, and Hyperbaric Oxygen Therapy.
abstract: BACKGROUND Necrotizing fasciitis (NF) of the orbit is a rare and deadly condition that requires prompt surgical and medical management to decrease morbidity and mortality.  CASE REPORT Here we present an interesting case of an individual who developed fulminant NF of the left orbit requiring emergent surgical intervention, antibiotics, and subsequent hyperbaric oxygen therapy in an attempt to save the eye.  CONCLUSIONS With an early and aggressive multifaceted approach using antibiotics, surgery, and hyperbaric oxygen it may be possible to preserve eye structure and function. Without treatment NF is a rapidly progressive condition and can result in significant morbidity.
authors.affiliation: Department of Internal Medicine, University of Cincinnati, Cincinnati, OH, USA.
authors.forename: Narayanasarma V
authors.initials: NV
authors.lastname: Singam
authors.affiliation: Department of Ophthalmology, University of Cincinnati, Cincinnati, OH, USA.
authors.forename: Deepam
authors.initials: D
authors.lastname: Rusia
authors.affiliation: Department of Internal Medicine, University of Cincinnati, Cincinnati, OH, USA.
authors.forename: Rajan
authors.initials: R
authors.lastname: Prakash
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D015818:Eye Infections, Bacterial / Q000628:therapy*; D058447:Eye Pain / Q000209:etiology; D019115:Fasciitis, Necrotizing / Q000628:therapy*; D005260:Female; D006801:Humans; D006931:Hyperbaric Oxygenation; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification; D008875:Middle Aged; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000188:drug therapy
chemical_list: D000900:Anti-Bacterial Agents