Ophthalmology Department, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Ophthalmology Department, Verte Oftalmología Barcelona, Barcelona, Spain.
Eur J Clin Microbiol Infect Dis. 2024 Oct;43(10):2053-2059. doi: 10.1007/s10096-024-04908-6. Epub 2024 Jul 31.
A multicenter review of Periorbital Necrotizing Fasciitis including nine cases, aged 41 to 82, mostly female, and mainly post-traumatic or idiopathic. Streptococcus pyogenes was the most frequent pathogen. Treatment involved debridement alongside antibiotic therapy in all cases. Two cases experienced toxic shock, with no fatalities. Visual outcomes varied from exenteration to preserved visual acuity with minimal aesthetic impact. Early detection and prompt intervention are paramount due to the significant risks associated with this condition, which may lead to severe complications ranging from vision loss to systemic decline or death.
多中心回顾性研究眶周坏死性筋膜炎共纳入 9 例患者，年龄 41 至 82 岁，大多数为女性，主要为创伤后或特发性。最常见的病原体是化脓性链球菌。所有患者均接受清创术联合抗生素治疗。2 例发生中毒性休克，但无死亡病例。视力预后从眼球摘除到保留最小美学影响的视力不等。由于这种疾病与严重并发症相关，包括视力丧失、全身恶化或死亡，早期发现和及时干预至关重要。
