Herdiana Tri Rejeki, Takahashi Yasuhiro, Valencia Ma Regina Paula, Ana-Magadia Marian Grace, Kakizaki Hirohiko
Department of Oculoplastic, Orbital & Lacrimal Surgery, Aichi Medical University Hospital, Aichi, Japan.
Case Rep Ophthalmol. 2018 May 24;9(2):299-303. doi: 10.1159/000488971. eCollection 2018 May-Aug.
To report a case of periocular necrotizing fasciitis with toxic shock syndrome.
This is a case report of a previously healthy 69-year-old woman with left preseptal eyelid infection that spread rapidly and deteriorated into necrosis of the eyelid with toxic shock syndrome. She was admitted to intensive care unit for hemodynamic stabilization.
Intravenous antibiotic and high-dose immunoglobulin were administered followed by surgical debridement. Rehabilitative eyelid reconstruction was performed after acute episode, resulting in patient satisfaction in relation to periocular function and appearance.
We reported a case of periocular necrotizing fasciitis with toxic shock syndrome that necessitated early aggressive medical treatment and adequate surgical intervention to decrease morbidity and mortality. A high level of suspicion of periocular necrotizing fasciitis is necessary to make a prompt diagnosis.
报告一例伴有中毒性休克综合征的眼周坏死性筋膜炎病例。
这是一例病例报告，患者为一名69岁既往健康的女性，患有左眼睑隔前感染，感染迅速蔓延并恶化为伴有中毒性休克综合征的眼睑坏死。她被收入重症监护病房以稳定血流动力学。
给予静脉抗生素和大剂量免疫球蛋白，随后进行手术清创。急性期过后进行了眼睑重建修复手术，患者对眼周功能和外观感到满意。
我们报告了一例伴有中毒性休克综合征的眼周坏死性筋膜炎病例，该病例需要早期积极的药物治疗和充分的手术干预以降低发病率和死亡率。对眼周坏死性筋膜炎保持高度怀疑对于及时诊断很有必要。
