Korean J Otorhinolaryngol-Head Neck Surg.  2016 Jun;59(6):462-465. 10.3342/kjorl-hns.2016.59.6.462.

A Case of Periorbital Necrotizing Fasciitis Occurred in Patient with Acute Rhinosinusitis

• Jung D
• Yun M
• Mo JH
• Chung YJ

• KMID: 2309270
• DOI: http://doi.org/10.3342/kjorl-hns.2016.59.6.462

Abstract

Acute rhinosinusitis can usually be managed by appropriate medical therapy, but it may also extend to the periorbital area in some complicated cases. Periorbital necrotizing fasciitis is uncommon among orbital complications, but can be fatal if it leads to soft tissue infection characterized by extensive necrosis and gas formation in the fascia and subcutaneous tissue. Immunocompromised states such as old ages, diabetes mellitus, alcoholics, and chronic renal failure have been reported to be predisposing factors, but the disease has also been detected in healthy patients. If proper treatment is not performed at the right time, necrotizing fasciitis can lead to systemic toxicity, multisystem organ failure, and eventual death. Therefore, early diagnosis and treatment are important. We report a case of periorbital necrotizing fasciitis that occurred in a healthy 30-year-old male patient with acute rhinosinusitis, which was treated with a combination of intravenous antibiotics and debridement of necrotic tissue and local wound management.

Keyword

Complications; Necrotizing fasciitis; Sinusitis

MeSH Terms

Adult
Alcoholics
Anti-Bacterial Agents
Causality
Debridement
Diabetes Mellitus
Early Diagnosis
Fascia
Fasciitis, Necrotizing*
Humans
Kidney Failure, Chronic
Male
Necrosis
Orbit
Sinusitis
Soft Tissue Infections
Subcutaneous Tissue
Wounds and Injuries
Anti-Bacterial Agents