A rare case of necrotizing fasciitis of eyelid in a young immunocompetent lady- case report and review of literature


  • Nithya Venkataramani Department of ENT, Head and Neck Surgery, People Tree Hospital, Bengaluru, Karnataka, India
  • Sonali Muralidhar Department of Opthalmology, Head and Neck Surgery, People Tree Hospital, Bengaluru, Karnataka, India
  • Ravi Sachidananda Department of ENT, Head and Neck Surgery, People Tree Hospital, Bengaluru, Karnataka, India




Necrotizing fasciitis, Periorbital, Immunocompetent


Necrotising fasciitis of the periorbital region is a rare condition where there is destruction of the periorbital soft tissue with potential of rapid spread causing significant morbidity and mortality. It is generally seen in immuno suppressed individuals following trivial trauma. Here we present a case of periorbital necrotising fasciitis in a young immonocompetent lady with emphasis on early identification and aggressive treatment to prevent loss of vision and mortality.


Overholt EM, Flint PW, Overholt EL, Murakami CS. Necrotizing fasciitis of the eyelids. Otolaryngol Head Neck Surg. 1992;106(4):339-44.

Casey K, Cudjoe P, Green JM, Valerio IL. A recent case of periorbital necrotizing fasciitis--presentation to definitive reconstruction within an in-theater combat hospital setting. J Oral Maxillofac Surg. 2014;72(7):1320-4.

Günel C, Eryılmaz A, Başal Y, Toka A. Periorbital Necrotising Fasciitis after Minor Skin Trauma. Case Rep Otolaryngol. 2014;723408.

Walters R. A fatal case of necrotizing fasciitis of the eyelid. Br J Ophthalmol. 1988;72:428-31.

Hasham S, Matteucci P, Stanley PR, Hart NB. Necrotising fasciitis. BMJ. 2005;330(7495):830-3.

Wong CH, Chang HC, Pasupathy S, Khin LW, Tan JL, Low CO. Necrotizing fasciitis: clinical presentation, microbiology, and determinants of mortality. J Bone Joint Surg Am. 2003;85(8):1454-60.

Giuliano A, Lewis F Jr, Hadley K, Blaisdell FW. Bacteriology of necrotizing fasciitis. Am J Surg. 1977;134(1):52-7.

Amrith S, Hosdurga Pai V, Ling WW. Periorbital necrotizing fasciitis - a review. Acta Ophthalmol. 2013;91:596-603.

Tambe K, Tripathi A, Burns J, Sampath R. Multidisciplinary management of periocular necrotising fasciitis: a series of 11 patients. Eye (Lond). 2012;26(3):463-7.

Riseman JA, Zamboni WA, Curtis A, Graham DR, Konrad HR, Ross DS. Hyperbaric oxygen therapy for necrotizing fasciitis reduces mortality and the need for debridements. Surgery. 1990;108(5):847-50.






Case Reports