Fungal Periorbital Necrotizing Fasciitis in an Immunocompetent Adult

被引：14
|
作者：
Rath, Suryasnata [1 ]
Kar, Sarita [2 ]
Sahu, Srikant K. [3 ]
Sharma, Savitri [2 ]
机构：
[1] LV Prasad Eye Inst, Orbit & Ocular Oncol Serv, Bhubaneswar 751024, Orissa, India
[2] LV Prasad Eye Inst, Ocular Microbiol Serv, Bhubaneswar 751024, Orissa, India
[3] LV Prasad Eye Inst, Cornea Serv, Bhubaneswar 751024, Orissa, India
来源：
OPHTHALMIC PLASTIC AND RECONSTRUCTIVE SURGERY | 2009年 / 25卷 / 04期
关键词：
D O I：
10.1097/IOP.0b013e3181ab7518
中图分类号：
R77 [眼科学];
学科分类号：
100212 ;
摘要：
A 55-year-old man presented with profound swelling of the upper face and fever with a history of preceding insect bite. He was nonalcoholic and immunocompetent. Orbital CT showed a predominantly preseptal soft-tissue swelling. Empiric treatment with broad-spectrum antibiotics resulted in partial response. Surgical debridement and microbiologic evaluation of the necrotic tissue were performed. Gram stain showed budding yeast cells. Candida and Aspergillus spp. grew in culture after 48 hours. The patient received oral fluconazole, 200 mg once a day for 8 weeks. Complete resolution was documented at 16 weeks. In tropical regions, Candida and Aspergillus spp. may cause periorbital necrotizing fasciitis in immunocompetent adults.
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收藏
页码：334 / 335
页数：2
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