Case Report: Eyelid and Periorbital Necrotizing Fasciitis: Experience from the Kyiv Regional Clinical Hospital

Abstract

Necrotizing fasciitis (NF) is an extremely severe infection that can lead to cosmetic and functional problems. It is characterized by rapidly progressing necrotizing infection of the superficial fascia with secondary necrosis of the overlying skin. According to a systematic review by Amrith and colleagues (2013), periorbital NF resulted in death in 8.5% of cases. Overall, the mortality rate from NF, usually due to multisystemic shock, ranges from 12% to 57%. In the literature, the following synonyms of the term NF may be used: streptococcal gangrene, hospital gangrene, gangrenous erysipelas, necrotising erysipelas, Fournier's gangrene, and purulent-necrotic process. The purpose of this article is to present to the public the experience of the staff of the Kyiv Regional Clinical Hospital in the treatment of NF of the eyelids and periorbital area in a 38-year-old male patient with the presentation of the result of treatment after one month. Summing up our experience in treating NF, we note that despite extensive areas of necrosis of the eyelid skin, its regenerative capabilities remain at an extremely high level due to existing vascularization and appropriate comprehensive treatment.