alexa Hyperbaric Oxygen as and Adjust to Management of Periocular Necrotizing Fasciitis: A Report of 2 Cases
ISSN: 2161-1149

Rheumatology: Current Research
Open Access

Like us on:
OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Case Report

Hyperbaric Oxygen as and Adjust to Management of Periocular Necrotizing Fasciitis: A Report of 2 Cases

Alice Song*, Julia Song, Michael B Strauss, Michael Song and Trisa Palmares

Long Beach Memorial Medical Center, Long Beach, CA, USA

*Corresponding Author:
Alice Song
Long Beach Memorial Medical Center
2840 Long Beach Blvd., #330
Long Beach, CA 90806, USA
Tel: 562-427-0700
Fax: 562-427-2525
E-mail: [email protected]

Received date: March 04, 2013; Accepted date: July 18, 2013; Published date: July 25, 2013

Citation: Song A, Song J, Strauss MB, Song M, Palmares T (2013) Hyperbaric Oxygen as and Adjust to Management of Periocular Necrotizing Fasciitis: A Report of 2 Cases. Rheumatol Curr Res S17:003. doi: 10.4172/2161-1149.S17-003

Copyright: © 2013 Song A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Introduction: Necrotizing fasciitis is a rare but potentially fatal soft tissue infection. It involves rapidly progressive necrosis of fascia and subcutaneous fat often with necrosis of the overlying skin. Patients may have systemic toxicity, characterized by altered mental status, malaise, leukocytosis, fever, chills, and pain. It most commonly involves the trunk, extremities and perineum. It is often associated with minor trauma, surgery, diabetes mellitus, or intravenous drug abuse. Mortality rate range is 20-40%. Early diagnosis and aggressive treatment are essential for preventing tissue loss and increasing survival.

When necrotizing fasciitis involves the orbit it can threaten vision, lead to cavernous sinus thrombosis and death. Reports indicate that outcomes are usually poor with unsightly scarring, visual impairment or the more serious problems mentioned above.

We report our experience with two patients treated using Hyperbaric Oxygen (HBO) treatments as an adjunct in their management. Both had excellent clinical outcomes with preservation of vision and almost imperceptible cosmetic effects.

Case presentation: Two patients with Group A Streptococcus periocular necrotizing fasciitis were referred to the first author for emergency medical management. Both patients were healthy females with no history of trauma who presented with rapid-onset periocular pain and edema. Antibiotics were started immediately followed by prompt surgical exploration and debridement and post-operative initiation hyperbaric oxygen treatments. Both patients had excellent outcomes results without loss of vision or complex oculoplastic intervention.

Conclusion: Historically, periocular necrotizing fasciitis has had high complications rates. With prompt, aggressive treatment and adjunctive HBO therapy, our 2 patients achieved complete recovery with satisfactory cosmesis and only minimial cicatricial changes. We strongly recommend HBO be used as an adjunct in the management of periocular necrotizing fasciitis.

Keywords

Share This Page

Additional Info

Loading
Loading Please wait..
 
Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

[email protected]

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

[email protected]

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001 Extn: 9042

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords