A Rare Clinical Case of Periorbital Necrotizing Fasciitis in a Healthy Child
DOI:
https://doi.org/10.48560/rspo.38241Keywords:
Fasciitis, Necrotizing, Child, Early diagnosis, Debridement, Eyelid DiseasesAbstract
Periorbital necrotizing fasciitis is a rapidly progressive, highly destructive microbial infection involving the periorbital tissue’s skin, subcutaneous and deep soft tissues, and muscles. This report describes a case of periorbital necrotizing fasciitis in an otherwise healthy 2-year-old girl, underscoring the critical importance of early diagnosis and timely intervention. Remarkably, this case demonstrates that extensive surgical debridement is not invariably necessary, emphasizing the relevance of individualized treatment approaches and prompt medical management in achieving optimal patient outcomes.
Downloads
References
Lazzeri D, Lazzeri S, Figus M, Tascini C, Bocci G, Colizzi L, et al. Periorbital necrotising fasciitis. Br J Ophthalmol. 2010;94:1577–85. doi: 10.1136/bjo.2009.167486.
Corredor-Osorio R, Ocando-Cedeño A, Mata-Plathy M. Eyelids necrotizing fasciitis in children. J Clin Exp Ophthalmol. 2012;3:216.
Proia AD. Periocular necrotizing fasciitis in an infant. Surv Ophthalmol. 2018;63:251–6. doi: 10.1016/j.survophthal.2017.03.002.
Abrams L, Pirakitikulr N, Rootman DB. Life-threatening periocular pseudomonal necrotizing fasciitis in an immunocompetent infant. Am J Ophthalmol Case Rep. 2024;36:102149. doi: 10.1016/j.ajoc.2024.102149.
Khurana S, Pushker N, Naik SS, Changole MD, Ghonsikar V, Bajaj M. Periorbital necrotising fasciitis in infants: Presentation and management of six cases. Trop Doct. 2015;45:188–93. doi: 10.1177/0049475515575671.
Setiawati W, Satari HHI, Irawati Y, Susiyanti M. Case Report: Successful management of bilateral periorbital necrotising fasciitis with ocular involvement. BMJ Case Rep. 2018;2018:bcr2017223457. doi: 10.1136/bcr-2017-223457.
Marshall DH, Jordan DR, Gilberg SM, Harvey J, Arthurs BP, Nerad JA. Periocular necrotizing fasciitis: a review of five cases. Ophthalmology. 1997;104:1857–62. doi: 10.1016/s0161-6420(97)30016-5.
Bustos BR, Soto GG, Hickmann OL, Torres BC. Fascitis necrosante palpebral y shock tóxico por Streptococcus pyogenes. Rev Chil Infectol. 2009;152–5.
Stevens DL, Baddour LM. Necrotizing soft tissue infections. 2024. In: Connor RF. UpToDate. New York: Wolters Kluwer; 2024.
Flavahan PW, Cauchi P, Gregory ME, Foot B, Drummond SR, Flavahan P. Incidence of periorbital necrotising fasciitis in the UK population: a BOSU study.
Raja V, Job R, Hubbard A, Moriarty B. Periorbital necrotising fasciitis: delay in diagnosis results in loss of lower eyelid. Int Ophthalmol. 2008;28:67-9. doi: 10.1007/s10792-007-9108-z.
Schröder A, Gerin A, Firth GB, Hoffmann KS, Grieve A, Oetzmann von Sochaczewski C. A systematic review of necrotising fasciitis in children from its first description in 1930 to 2018. BMC Infect Dis. 2019;19:317. doi: 10.1186/s12879-019-3941-3. Erratum in: BMC Infect Dis. 2019;19:469. doi: 10.1186/s12879-019-4003-6.
Luksich JA, Holds JB, Hartstein ME. Conservative management of necrotizing fasciitis of the eyelids. Ophthalmology. 2002;109:2118-22. doi: 10.1016/s0161-6420(02)01257-5.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Revista Sociedade Portuguesa de Oftalmologia

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Do not forget to download the Authorship responsibility statement/Authorization for Publication and Conflict of Interest.
The article can only be submitted with these two documents.
To obtain the Authorship responsibility statement/Authorization for Publication file, click here.
To obtain the Conflict of Interest file (ICMJE template), click here


