Heichel Jens, Griebsch Max, Siebolts Udo, Wickenhauser Claudia, Viestenz Arne
Universitätsklinik und Poliklinik für Augenheilkunde, Martin-Luther-Universität Halle-Wittenberg, Ernst-Grube-Str. 40, 06120, Halle, Deutschland.
Institut für Pathologie, Martin-Luther-Universität Halle-Wittenberg, Magdeburger Straße 14, 06112 Halle, Deutschland.
Ophthalmologe. 2020 Nov;117(11):1121-1125. doi: 10.1007/s00347-020-01078-6.
The case of an 82-year-old woman with bilateral necrotizing fasciitis and unilateral orbital involvement is presented. A mixed infection consisting of Streptococcus pyogenes, Staphylococcus aureus, and Aspergillus fumigatus could be verified. The latter was detected by molecular pathological investigations. Treatment consisted of repeated surgical debridement in combination with systemic broad-spectrum antibiotic and antimycotic treatment. Furthermore, the patient received low-dose systemic corticosteroids. After remission of acute inflammation, the healing process by secondary intention was uneventful.
本文报告了一例82岁女性双侧坏死性筋膜炎伴单侧眼眶受累的病例。已证实存在由化脓性链球菌、金黄色葡萄球菌和烟曲霉组成的混合感染。后者通过分子病理学检查检测到。治疗包括反复手术清创，联合全身广谱抗生素和抗真菌治疗。此外，患者接受了低剂量全身皮质类固醇治疗。急性炎症缓解后，二期愈合过程顺利。
