Necrotizing Fasciitis Following Herpes Zoster Ophthalmicus in an Immunocompromised Patient
Joint Authors
Cozzupoli, Grazia Maria
Gui, Daniele
Cozza, Valerio
Lodoli, Claudio
Pennisi, Mariano Alberto
Caporossi, Aldo
Falsini, Benedetto
Source
Case Reports in Ophthalmological Medicine
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-01-20
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Necrotizing fasciitis (NF) is a rare infection that spreads rapidly along the subcutaneous soft tissue planes.
NF rarely involves the periorbital region due to the excellent blood supply of this region.
We report a case of periorbital necrotising fasciitis following herpes zoster (HZ) in an immunocompromised 70-year-old patient with a dramatically rapid evolution into septic shock.
In our patient, the surprisingly rapid spread of the bacterial superinfection led the periorbital cellulitis to turn into frank NF within 2 hours, with an overwhelming evolution.
Despite the prompt start of a systemic antibiotic therapy and the immediate surgical intervention, the patient had a septic shock; she was treated in ITU for 31 days and then discharged to a medical ward and eventually died for a mix of complications of the medical treatment and comorbidities.
This case is unique because any documented cases of periorbital NF triggered by HZ had never led to a septic shock and death.
Ophthalmologists should be aware that even common skin lesions caused by shingles can determine a dramatic clinical picture, in presence of predisposing factors.
American Psychological Association (APA)
Cozzupoli, Grazia Maria& Gui, Daniele& Cozza, Valerio& Lodoli, Claudio& Pennisi, Mariano Alberto& Caporossi, Aldo…[et al.]. 2019. Necrotizing Fasciitis Following Herpes Zoster Ophthalmicus in an Immunocompromised Patient. Case Reports in Ophthalmological Medicine،Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1142302
Modern Language Association (MLA)
Cozzupoli, Grazia Maria…[et al.]. Necrotizing Fasciitis Following Herpes Zoster Ophthalmicus in an Immunocompromised Patient. Case Reports in Ophthalmological Medicine No. 2019 (2019), pp.1-5.
https://search.emarefa.net/detail/BIM-1142302
American Medical Association (AMA)
Cozzupoli, Grazia Maria& Gui, Daniele& Cozza, Valerio& Lodoli, Claudio& Pennisi, Mariano Alberto& Caporossi, Aldo…[et al.]. Necrotizing Fasciitis Following Herpes Zoster Ophthalmicus in an Immunocompromised Patient. Case Reports in Ophthalmological Medicine. 2019. Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1142302
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1142302