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

Author:

Olsson Lewis1,Vuity Drazsen2,McAllister Peter3,Ansell Mark4

Affiliation:

1. Dental Core Trainee, Regional Maxillofacial Unit, Queen Elizabeth University Hospital, UK

2. Clinical Fellow, Oral and Maxillofacial Surgery, Queen Elizabeth University Hospital, UK

3. Specialty Trainee, Oral and Maxillofacial Surgery, Queen Elizabeth University Hospital, UK

4. Consultant, Oral and Maxillofacial Surgery, Queen Elizabeth University Hospital, UK

Abstract

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.

Publisher

SAGE Publications

Subject

General Medicine

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