Mehta Rhujuta, Kumar Anupma, Crock Carmel, McNab Alan
Royal Victorian Eye and Ear Hospital, East Melbourne, Australia.
Orbit. 2013 Aug;32(4):253-5. doi: 10.3109/01676830.2013.788667. Epub 2013 May 10.
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.
坏死性筋膜炎（NF）是一种皮下组织和浅筋膜迅速进展的坏死性感染，并伴有上层皮肤的继发性坏死。眶周坏死性筋膜炎虽然不常见，但据报道死亡率为8%-15%，视力丧失率为13.8%。早期手术清创一直被认为是这些患者治疗中的关键因素，然而，新出现的报告描述了仅用静脉抗生素治疗也取得了成功的结果。我们描述了一名接受保守治疗且效果良好的患者。
