Periocular necrotizing fasciitis associated with kerato-conjunctivitis and treated with medical management: a case report

Indian J Ophthalmol. May-Jun 2008;56(3):231-2. doi: 10.4103/0301-4738.40363.

Abstract

We report a 25-year-old systemically healthy male who presented with periocular necrotizing fasciitis (NF) in the left eyelid. This was associated with the presence of immunologically mediated marginal kerato-conjunctivitis, in the same eye. This potentially dangerous lid infection and the associated ocular surface infection resolved successfully, with medical management. We report this case to highlight the successful conservative management of periocular NF and the hitherto unreported anterior segment involvement.

Publication types

  • Case Reports

MeSH terms

  • Administration, Oral
  • Adult
  • Amoxicillin-Potassium Clavulanate Combination / therapeutic use
  • Anti-Infective Agents / therapeutic use*
  • Ceftriaxone / therapeutic use
  • Drug Therapy, Combination
  • Eyelid Diseases / drug therapy*
  • Eyelid Diseases / microbiology
  • Fasciitis, Necrotizing / drug therapy*
  • Fasciitis, Necrotizing / microbiology
  • Humans
  • Infusions, Intravenous
  • Keratoconjunctivitis / drug therapy*
  • Keratoconjunctivitis / microbiology
  • Male
  • Metronidazole / therapeutic use
  • Staphylococcal Infections / drug therapy*
  • Staphylococcal Infections / microbiology
  • Staphylococcus aureus / isolation & purification*

Substances

  • Anti-Infective Agents
  • Metronidazole
  • Amoxicillin-Potassium Clavulanate Combination
  • Ceftriaxone