Lin Pei Wen, Lin Hsin Ching
Ophthalmology, Kaohsiung, Taiwan.
Am J Ophthalmol. 2003 Jul;136(1):203-4. doi: 10.1016/s0002-9394(03)00089-8.
To report a case of progressive necrotizing fasciitis of the face following acute dacryocystitis.
Interventional case report.
A 60-year-old woman presented with left acute dacryocystitis with abscess formation that had ruptured; a small wound remained. Erythematous swelling of the left eyelid and face developed 3 days later. Clinical progression and computed tomographic findings led to the diagnosis of necrotizing fasciitis with abscess formation. Early intravenous antibiotics and repeated surgical debridements were performed.
Soft tissue necrosis was found the fascial planes extending deep to the maxilla bone and periorbital fat. The patient was successfully treated without ocular, orbital, or facial complications.
Necrotizing fasciitis of the eyelid and face progresses rapidly. Early diagnosis, prompt intravenous antibiotic administration, and aggressive surgical debridement will prevent the associated morbidity and mortality.
报告1例急性泪囊炎后发生的面部进行性坏死性筋膜炎病例。
介入性病例报告。
一名60岁女性因左急性泪囊炎伴脓肿形成且脓肿已破裂就诊；遗留一个小伤口。3天后左侧眼睑和面部出现红斑性肿胀。临床进展和计算机断层扫描结果导致诊断为伴有脓肿形成的坏死性筋膜炎。早期静脉使用抗生素并反复进行手术清创。
在延伸至上颌骨和眶周脂肪深部的筋膜平面发现软组织坏死。患者成功治愈，未出现眼部、眼眶或面部并发症。
眼睑和面部坏死性筋膜炎进展迅速。早期诊断、及时静脉使用抗生素以及积极的手术清创可预防相关的发病率和死亡率。
