piperacillin--tazobactam-drug-combination and Fasciitis--Necrotizing

Topics: Aged; Anesthesia, Local; Debridement; Erythema; Fasciitis, Necrotizing; Female; Fever; Foot; Humans; Pain; Piperacillin, Tazobactam Drug Combination

Periocular necrotising fasciitis is a rare but sight-threatening condition, which relies on clinical judgement to detect in a timely manner. A 51-year-old woman presented to a rural hospital with rapid onset bilateral eye swelling, erythema and pain and was started on broad spectrum intravenous antibiotics. Upon admission, she became septic and required fluid resuscitation and transfer to a higher level of care. She received debridement and continued intravenous antibiotics, with step down to oral when clinically stable. Rapid recognition and treatment of her condition resulted in a positive outcome.

Topics: Administration, Intravenous; Anti-Bacterial Agents; Diagnosis, Differential; Eyelid Diseases; Eyelids; Fasciitis, Necrotizing; Female; Humans; Middle Aged; Penicillanic Acid; Piperacillin; Piperacillin, Tazobactam Drug Combination; Streptococcal Infections; Streptococcus pyogenes; Vancomycin

Topics: Aged; Anti-Bacterial Agents; Anti-Inflammatory Agents; Fasciitis, Necrotizing; Female; Humans; Immunoglobulins, Intravenous; Pemphigoid, Bullous; Piperacillin, Tazobactam Drug Combination; Prednisolone; Staphylococcal Infections