Group A streptococcal necrotizing fasciitis of the eyelids and face managed with debridement and adjunctive intravenous immunoglobulin. Ophthalmic Plast Reconstr Surg 2009;25(4):332-4
Date
07/21/2009Pubmed ID
19617804DOI
10.1097/IOP.0b013e3181ab73fcScopus ID
2-s2.0-69449086056 (requires institutional sign-in at Scopus site) 14 CitationsAbstract
The authors describe a patient with right upper and lower eyelid necrosis combined with facial, neck, and chest edema and sepsis secondary to Group A streptococcal infection after minor trauma. This is an uncommon, life-threatening condition that was successfully treated with limited surgical debridement, antimicrobial therapy, and intravenous immunoglobulin. Oculoplastic surgeons should be aware of the indications and potential benefit of adjunctive intravenous immunoglobulin therapy for Group A Streptococcus-induced necrotizing fasciitis.
Author List
Aakalu VK, Sajja K, Cook JL, Ahmad AZAuthor
Vinay Kumar Aakalu MPH, MD Chair, Professor in the Ophthalmology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultDebridement
Diagnosis, Differential
Eye Infections, Bacterial
Eyelid Diseases
Eyelids
Face
Facial Dermatoses
Fasciitis, Necrotizing
Humans
Immunoglobulins, Intravenous
Immunologic Factors
Male
Streptococcal Infections
Streptococcus pyogenes
