眼睑整容术后发生坏死性蜂窝组织炎：病例报告

IF 1.5 Q3 SURGERY

JPRAS Open Pub Date : 2024-09-28 DOI:10.1016/j.jpra.2024.09.016

Rhyme Timoumi, Laura Moyal, Jean-Philippe Nordmann, Amin Bennedjai

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引用次数: 0

摘要

眶周坏死性蜂窝组织炎是一种罕见的局部筋膜炎，也是眼睑整容术的一种特殊并发症。我们在此讨论一例 52 岁女性的病例，她在接受双侧下眼睑整容术 2 天后出现眼眶蜂窝组织炎。磁共振成像证实了她的诊断。蜂窝织炎并发眼压升高，局部治疗和静脉注射乙酰唑胺均无效，导致视力下降。感染处理包括静脉注射抗生素、皮质类固醇和引流手术。细菌学样本显示，表皮葡萄球菌对所有巴内酰胺类药物均耐药。据我们所知，这是文献中报道的第七例眼睑成形术后发生坏死性蜂窝组织炎的病例。据我们所知，这是文献报道的第七例眼睑整形术后坏死性蜂窝组织炎，其他病例都是由毒性化脓性链球菌引起的，需要手术清创和抗生素治疗。我们的病例比较特殊，因为这是第一例由另一种病原体--表皮葡萄球菌--引起的坏死性蜂窝组织炎，这种病原体似乎毒性较弱。

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Necrotising cellulitis occurring after cosmetic blepharoplasty: A case report

Periorbital necrotising cellulitis is a rare localisation of fasciitis and an exceptional complication of cosmetic blepharoplasty.

We discuss here the case of a 52-year-old woman who presented with orbital cellulitis 2 days after undergoing a bilateral cosmetic lower blepharoplasty. The diagnosis was confirmed on magnetic resonance imaging. Cellulitis was complicated by ocular hypertension resistant to local treatment and intravenous acetazolamide, leading to a decrease in visual acuity.

Infection management consisted of intravenous antibiotics, corticosteroid bolus and drainage surgery. Bacteriological samples yielded Staphylococcus epidermidis resistant to all betalactamines. Anatomopathological analysis of the drained sample revealed an aspect compatible with necrotising cellulitis.

To our knowledge, this is the seventh case of necrotising cellulitis occurring after blepharoplasty reported in the literature. The other cases were due to the virulent Streptococcus pyogenes and required surgical debridement and antibiotics. Our case is unique, as it is the first reported case of necrotising cellulitis due to another pathogen, Staphylococcus epidermidis, which appears less virulent.

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来源期刊

JPRAS Open Medicine-Surgery

CiteScore

1.60

自引率

0.00%

发文量

审稿时长

22 weeks

期刊介绍： JPRAS Open is an international, open access journal dedicated to publishing case reports, short communications, and full-length articles. JPRAS Open will provide the most current source of information and references in plastic, reconstructive & aesthetic surgery. The Journal is based on the continued need to improve surgical care by providing highlights in general reconstructive surgery; cleft lip, palate and craniofacial surgery; head and neck surgery; skin cancer; breast surgery; hand surgery; lower limb trauma; burns; and aesthetic surgery. The Journal will provide authors with fast publication times.