Document Detail

Streptococcal necrotizing fasciitis complicating a conjunctival dacryocystorhinostomy.
MedLine Citation:
PMID:  9700738     Owner:  NLM     Status:  MEDLINE    
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.
M J Hirschbein; S E LaBorwit; J W Karesh
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Ophthalmic plastic and reconstructive surgery     Volume:  14     ISSN:  0740-9303     ISO Abbreviation:  Ophthal Plast Reconstr Surg     Publication Date:  1998 Jul 
Date Detail:
Created Date:  1998-10-21     Completed Date:  1998-10-21     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  8508431     Medline TA:  Ophthal Plast Reconstr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  281-5     Citation Subset:  IM    
Krieger Eye Institute, Sinai Hospital of Baltimore, MD 21215, USA.
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MeSH Terms
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
Follow-Up Studies
Streptococcal Infections* / diagnosis,  drug therapy,  microbiology
Streptococcus / isolation & purification
Surgical Wound Infection / diagnosis,  drug therapy,  microbiology*
Tomography, X-Ray Computed
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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