• Scot Med J · Aug 2018

    Case Reports

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

    • Lewis Olsson, Drazsen Vuity, Peter McAllister, and Mark Ansell.
    • 1 Dental Core Trainee, Regional Maxillofacial Unit, Queen Elizabeth University Hospital, UK.
    • Scot Med J. 2018 Aug 1; 63 (3): 87-90.

    AbstractHead 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.

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