Scholarlink

Background <p>Necrotizing fasciitis is considered a lethal soft tissue infection. It is commonly caused by group A streptococcus, although <i>Staphylococcus aureus</i>, other gram-negative organisms, and anaerobes may be the etiological causes. Necrotizing fasciitis caused by Mucorales seldom occurs and is commonly observed in individuals with compromised immune systems like those with diabetes. Neglecting to treat or delaying seeking proper medical care can have severe consequences, including the development of systemic illness and a rapid deterioration of one’s clinical condition, which may ultimately prove fatal.</p> Case Presentation <p>The present case exhibits a 55-year-old Asian male with multiple comorbidities having right-sided facial pain, right-sided ptosis, fever and vomiting, which later progressed to painful facial swelling with bluish-black discoloration. The CT scan results and the causal organism identified in the histopathology report were the foundation for diagnosing necrotizing fasciitis from the face. The patient underwent a thorough surgical debridement, and a tooth extraction was performed to address a probable source of the infection. Despite receiving extensive care, our patient died on the eighth day of the hospital stay.</p> Conclusions <p>Favorable outcomes maybe achieved through timely clinical suspicion, supported by diagnostic evaluation and appropriate medical and surgical intervention. However, this remain challenging, especially in patients with multiple comorbidities. Unfortunately, untimely diagnosis and underlying comorbidities are some of the principal aspects that need attention in developing countries.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Fungal Orbital-Facial Necrotizing Fasciitis: A Case Report

  • 期刊论文

  • 发表日期：

    2025年8月2日

查看全文
  • Yameena Noman Khan,
  • Ali Mala,
  • Jamil Muqtadir,
  • Sumbal Mahmood,
  • Irshad Batool

摘要

Background

Necrotizing fasciitis is considered a lethal soft tissue infection. It is commonly caused by group A streptococcus, although Staphylococcus aureus, other gram-negative organisms, and anaerobes may be the etiological causes. Necrotizing fasciitis caused by Mucorales seldom occurs and is commonly observed in individuals with compromised immune systems like those with diabetes. Neglecting to treat or delaying seeking proper medical care can have severe consequences, including the development of systemic illness and a rapid deterioration of one’s clinical condition, which may ultimately prove fatal.

Case Presentation

The present case exhibits a 55-year-old Asian male with multiple comorbidities having right-sided facial pain, right-sided ptosis, fever and vomiting, which later progressed to painful facial swelling with bluish-black discoloration. The CT scan results and the causal organism identified in the histopathology report were the foundation for diagnosing necrotizing fasciitis from the face. The patient underwent a thorough surgical debridement, and a tooth extraction was performed to address a probable source of the infection. Despite receiving extensive care, our patient died on the eighth day of the hospital stay.

Conclusions

Favorable outcomes maybe achieved through timely clinical suspicion, supported by diagnostic evaluation and appropriate medical and surgical intervention. However, this remain challenging, especially in patients with multiple comorbidities. Unfortunately, untimely diagnosis and underlying comorbidities are some of the principal aspects that need attention in developing countries.