激光睑成形术后A组链球菌感染所致坏死性筋膜炎
Necrotizing fasciitis caused by group A streptococcus infection after laser blepharoplasty.
作者信息
Jordan D R, Mawn L, Marshall D H
机构信息
University of Ottawa Eye Institute, Ontario, Canada.
出版信息
Am J Ophthalmol. 1998 Feb;125(2):265-6. doi: 10.1016/s0002-9394(99)80108-1.
PURPOSE
To describe a patient who developed early signs of necrotizing fasciitis after undergoing laser blepharoplasty.
METHODS
A 36-year-old woman developed wound discharge, wound dehiscence, and facial swelling 66 hours postblepharoplasty. Cloxacillin was administered but changed to high-dose intravenous penicillin G and clindamycin when the eyelid cultures grew group A streptococcus (an organism capable of causing necrotizing fasciitis organism).
RESULTS
The patient was treated with intravenous antibiotics for 10 days followed by 3 weeks of oral medications. The wounds healed spontaneously with an excellent result.
CONCLUSIONS
Infection postblepharoplasty is rare. When it occurs, tissue destruction can be potentially devastating. Prompt diagnosis, intravenous antibiotics, and close follow-up are essential.
目的
描述一名在接受激光睑成形术后出现坏死性筋膜炎早期症状的患者。
方法
一名36岁女性在睑成形术后66小时出现伤口渗液、伤口裂开和面部肿胀。给予氯唑西林治疗，但当眼睑培养物培养出A组链球菌（一种能够引起坏死性筋膜炎的微生物）时，改为大剂量静脉注射青霉素G和克林霉素。
结果
患者接受了10天的静脉抗生素治疗，随后口服药物治疗3周。伤口自行愈合，效果极佳。
结论
睑成形术后感染罕见。一旦发生，组织破坏可能具有潜在的毁灭性。及时诊断、静脉使用抗生素和密切随访至关重要。
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