Necrotizing fasciitis after cosmetic blepharoplasty

Iván J. Suñer; Melissa L. Meldrum; Thomas E. Johnson; David T. Tse

doi:10.1016/S0002-9394(99)00134-8

Necrotizing fasciitis after cosmetic blepharoplasty

Iván J. Suñer, Melissa L. Meldrum, Thomas E. Johnson, David T. Tse

Ophthalmology

Research output: Contribution to journal › Article › peer-review

43 Scopus citations

Abstract

PURPOSE: To report a case of necrotizing fasciitis after cosmetic blepharoplasty. METHOD: Case report. A 74-year-old woman with history of type II diabetes mellitus underwent bilateral upper eyelid blepharoplasty. Postoperatively she developed fever, grayish discoloration of the skin, violaceous bullae, and a right facial nerve palsy. Necrotizing fasciitis was diagnosed and treated with intravenous antibiotics, debridement of necrotic tissue, and hyperbaric oxygen therapy. RESULTS: The infection resolved, but the patient required reconstruction for correction of cicatricial ectropion. CONCLUSION: Necrotizing fasciitis is a potentially fatal infection that typically occurs in the setting of trauma. Early recognition of its pathognomonic signs and aggressive management are paramount. Copyright (C) 1999 Elsevier Science Inc.

Original language	English (US)
Pages (from-to)	367-368
Number of pages	2
Journal	American journal of ophthalmology
Volume	128
Issue number	3
DOIs	https://doi.org/10.1016/S0002-9394(99)00134-8
State	Published - Sep 1999

ASJC Scopus subject areas

Ophthalmology

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10.1016/S0002-9394(99)00134-8

Cite this

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title = "Necrotizing fasciitis after cosmetic blepharoplasty",

abstract = "PURPOSE: To report a case of necrotizing fasciitis after cosmetic blepharoplasty. METHOD: Case report. A 74-year-old woman with history of type II diabetes mellitus underwent bilateral upper eyelid blepharoplasty. Postoperatively she developed fever, grayish discoloration of the skin, violaceous bullae, and a right facial nerve palsy. Necrotizing fasciitis was diagnosed and treated with intravenous antibiotics, debridement of necrotic tissue, and hyperbaric oxygen therapy. RESULTS: The infection resolved, but the patient required reconstruction for correction of cicatricial ectropion. CONCLUSION: Necrotizing fasciitis is a potentially fatal infection that typically occurs in the setting of trauma. Early recognition of its pathognomonic signs and aggressive management are paramount. Copyright (C) 1999 Elsevier Science Inc.",

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AU - Suñer, Iván J.

AU - Meldrum, Melissa L.

AU - Johnson, Thomas E.

AU - Tse, David T.

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N2 - PURPOSE: To report a case of necrotizing fasciitis after cosmetic blepharoplasty. METHOD: Case report. A 74-year-old woman with history of type II diabetes mellitus underwent bilateral upper eyelid blepharoplasty. Postoperatively she developed fever, grayish discoloration of the skin, violaceous bullae, and a right facial nerve palsy. Necrotizing fasciitis was diagnosed and treated with intravenous antibiotics, debridement of necrotic tissue, and hyperbaric oxygen therapy. RESULTS: The infection resolved, but the patient required reconstruction for correction of cicatricial ectropion. CONCLUSION: Necrotizing fasciitis is a potentially fatal infection that typically occurs in the setting of trauma. Early recognition of its pathognomonic signs and aggressive management are paramount. Copyright (C) 1999 Elsevier Science Inc.

AB - PURPOSE: To report a case of necrotizing fasciitis after cosmetic blepharoplasty. METHOD: Case report. A 74-year-old woman with history of type II diabetes mellitus underwent bilateral upper eyelid blepharoplasty. Postoperatively she developed fever, grayish discoloration of the skin, violaceous bullae, and a right facial nerve palsy. Necrotizing fasciitis was diagnosed and treated with intravenous antibiotics, debridement of necrotic tissue, and hyperbaric oxygen therapy. RESULTS: The infection resolved, but the patient required reconstruction for correction of cicatricial ectropion. CONCLUSION: Necrotizing fasciitis is a potentially fatal infection that typically occurs in the setting of trauma. Early recognition of its pathognomonic signs and aggressive management are paramount. Copyright (C) 1999 Elsevier Science Inc.

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Necrotizing fasciitis after cosmetic blepharoplasty

Abstract

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