| Streptococcal necrotizing fasciitis complicating a conjunctival dacryocystorhinostomy. | |
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MedLine Citation:
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PMID: 9700738 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Necrotizing fasciitis is a rare infection of the deep and subcutaneous tissue layers most commonly caused by group A beta-hemolytic Streptococcus. The disease begins as a typical cellulitis. Necrosis of the deeper tissues progresses rapidly, accompanied by a dusky, gray-blue skin discoloration with erythematous margins. Even with appropriate treatment, mortality rates remain as high as 36%. Most cases of necrotizing fasciitis have been reported in the general surgical literature, associated with trauma or as a postoperative wound infection after abdominal and gynecologic procedures. Of the 50 cases involving the eyelids reported in the literature, only three were reported to have occurred as a "postoperative" complication. This report is of the first known case of streptococcal necrotizing fasciitis complicating a conjunctival dacryocystorhinostomy. |
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Authors:
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M J Hirschbein; S E LaBorwit; J W Karesh |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Ophthalmic plastic and reconstructive surgery Volume: 14 ISSN: 0740-9303 ISO Abbreviation: Ophthal Plast Reconstr Surg Publication Date: 1998 Jul |
Date Detail:
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Created Date: 1998-10-21 Completed Date: 1998-10-21 Revised Date: 2005-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8508431 Medline TA: Ophthal Plast Reconstr Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 281-5 Citation Subset: IM |
Affiliation:
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Krieger Eye Institute, Sinai Hospital of Baltimore, MD 21215, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Anti-Bacterial Agents Conjunctiva / microbiology, pathology, surgery* Dacryocystorhinostomy / adverse effects* Drug Therapy, Combination / therapeutic use Eye Infections, Bacterial* / diagnosis, drug therapy, microbiology Fasciitis, Necrotizing / diagnosis, drug therapy, microbiology* Fatal Outcome Female Follow-Up Studies Humans Streptococcal Infections* / diagnosis, drug therapy, microbiology Streptococcus / isolation & purification Surgical Wound Infection / diagnosis, drug therapy, microbiology* Tomography, X-Ray Computed |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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