Journal d'ophtalmologie clinique et expérimentale
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Eyelids Necrotizing Fasciitis in Children

Rafael Corredor-Osorio, Alejandra Ocando-Cedeño and Mariana Mata-Plathy

Purpose: Two cases of eyelids Necrotizing Fasciitis in children were presented. The first one with chicken pox, and the second was previously healthy.
Design: Interventional Report cases.
Methods: Two cases of eyelids Necrotizing Fasciitis in children were studied. The first case was a 7 years old girl who presented a necrotizing fasciitis in superior and inferior eyelids with a serious toxic shock as a complication of the chicken pox. Parenteral antibiotic treatment was not enough to stop the necrotizing process and surgical debriding was needed for the gangrenous tissues. In the eyelid culture Streptococcus pyogenes grew. A free skin graft was implanted to the inferior eyelid. The second case was presented in a 6 months old girl, who developed necrotizing fasciitis of her lower left eyelid without any trauma antecedent. The ocular and blood cultures did not show any microorganism growth. An appropriate antibiotic coverage and management of systemic manifestations leads to a fast recovering; even though the developed necrosis demanded surgical debriding and a retroauricular free skin graft was performed later.