Periorbital necrotising soft tissue infection in a 12-year-old patient

Head and neck necrotising soft-tissue infection is exceptionally uncommon in the paediatric population. necrotising soft-tissue infection is severe and often life-threatening. Rapid spread of infection and systemic illness make necrotising soft-tissue infection a challenge for the medical and surgic...

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Bibliographic Details
Published in:Scottish medical journal 2018-08, Vol.63 (3), p.87-90
Main Authors: Olsson, Lewis, Vuity, Drazsen, McAllister, Peter, Ansell, Mark
Format: Article
Language:English
Subjects:
Anti-Bacterial Agents
Child
Debridement - methods
Eye Infections, Bacterial - microbiology
Eye Infections, Bacterial - therapy
Fasciitis, Necrotizing - etiology
Fasciitis, Necrotizing - microbiology
Fasciitis, Necrotizing - therapy
Humans
Lacerations - complications
Lacerations - microbiology
Male
Reconstructive Surgical Procedures - methods
Soft Tissue Infections - microbiology
Soft Tissue Infections - therapy
Surgical Flaps
Treatment Outcome
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Summary:Head and neck necrotising soft-tissue infection is exceptionally uncommon in the paediatric population. necrotising soft-tissue infection is severe and often life-threatening. Rapid spread of infection and systemic illness make necrotising soft-tissue infection a challenge for the medical and surgical teams. Early identification and surgical intervention are essential for a favourable patient outcome. This report details the case of periorbital necrotising soft-tissue infection in a 12-year-old male patient following an uncomplicated facial laceration. Prompt surgical debridement with planned return visits to theatre and guided empirical antibiotic therapy ensured that a satisfactory patient outcome was achieved. The failure of current necrotising soft-tissue infection diagnostic scoring tools to be positive in this case may suggest that these tools require refinement and validation.
ISSN:0036-9330
2045-6441
DOI:10.1177/0036933018776830