Fatal orbital necrotizing fasciitis secondary to stenotrophomonas maltophilia associated stomatitis

Karan N. B., KOSE R., KALYONCU A., SEKERYAPAN B., OTER K., FINDIK H., ...Daha Fazla

JOURNAL OF STOMATOLOGY ORAL AND MAXILLOFACIAL SURGERY, cilt.120, sa.3, ss.260-262, 2019 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 120 Sayı: 3
  • Basım Tarihi: 2019
  • Doi Numarası: 10.1016/j.jormas.2018.11.004
  • Dergi Adı: JOURNAL OF STOMATOLOGY ORAL AND MAXILLOFACIAL SURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.260-262
  • Anahtar Kelimeler: Stenotrophomonas maltophilia, Necrotizing fasciitis, Orbital cellulitis, Stomatitis
  • Recep Tayyip Erdoğan Üniversitesi Adresli: Evet

Özet

An 81-year-old woman with diabetes mellitus presented with signs of orbital cellulitis and a gangrenous ulcer on the right palate. Biopsy analysis confirmed a diagnosis of necrotizing fasciitis. Surgical debridement of necrotic tissues and enucleation of the right eye were performed. Stenotrophomonas maltophilia was isolated from the specimens. The patient remained stable under antibiotic therapy and underwent reconstructive surgery. To the best of our knowledge, this represents a rare case of orbital necrotizing fasciitis developing secondary to S. maltophilia infection. Orbital necrotizing fasciitis is rare; the early clinical featuresmay be similar to those of cellulitis. To prevent devastating complications, the former condition must be kept in mind, particularly in immunocompromised patients. (C) 2018 Elsevier Masson SAS. All rights reserved.