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Periocular necrotising fasciitis after traumatic laceration and concurrent COVID-19 infection:a case report

Annals of Eye Science 2023年第1期8卷 3-7页

作者： Terence Ang Thomas Rogerson Thilochana Nagolla Yugesh Caplash dinesh selva The University of Adelaide AdelaideSouth AustraliaAustralia Department of Ophthalmology The Royal Adelaide HospitalAdelaideSouth AustraliaAustralia Department of Plastic and Reconstructive Surgery Royal Adelaide HospitalAdelaideSouth AustraliaAustralia

Background:Necrotising fasciitis(NF)is a rare but severe necrotising infection of the subcutaneous *** report a case of periocular NF associated with a concurrent COVID-19 infection and explore potential mechanisms of pathogenesis of COVID-19 infection and necrotising *** Description:A 33-year-old previously healthy female presented with right-sided progressive periocular swelling,erythema,pain and fever,two days after sustaining a laceration to the right superolateral brow from a clenched *** had a concurrent COVID-19 infection,detected on nasopharyngeal polymerase chain reaction swab thirteen days prior to presentation and again at *** did not have an oxygen *** was a large bulbous collection of the right upper lid with fluctuance and overlying erythema,and a communicating sinus drained frank pus from the superolateral ***-operative T2-weighted MRI demonstrated fascial hyperintensity involving the pre-septal tissues and extending to the anterior temporal *** was commenced on intravenous meropenem,clindamycin and vancomycin,and underwent early surgical *** debridement demonstrated right upper lid necrosis involving the dermal and pre-septal layers,including the orbicularis,but sparing the *** pyogenes was isolated,and she was continued on a prolonged course of intravenous *** defects were repaired with a right-sided brow adipo-fascial flap based on the supratrochlear artery,browpexy and dual full thickness skin grafts on the right upper lid and ***:NF is an acute fulminant infection rarely affecting the periocular *** represents a unique case of periocular NF associated with a concurrent COVID-19 infection.

关键词： Necrotising fasciitis(NF) periocular COVID-19 infection case report

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