This 46-year-old man is in the intensive care unit (ICU) with septicemia. What do you see?

Plastics Coach #10 - Septicemia - Blurred
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Analysis

Here, we can see necrotizing fasciitis of the eye.

It is usually caused by a pyogenic bacterial infection with Group A ß-hemolytic Streptococcus pyogenes. Facial involvement is rare, with cases typically occurring in the setting of trauma, insect bite, or recent surgery in a patent with alcoholism or diabetes mellitus. Differential diagnosis includes non-fasciitis skin infection, dermatomyositis, and non-infectious necrotizing processes.

In this 8-minute video featuring Dr. Ahsen Hussain, assistant professor at Dalhousie University in Nova Scotia, we'll review:

  • How to identify necrotizing fasciitis
  • Risk factors for necrotizing fasciitis
  • Management for necrotizing fasciitis
Plastics Coach #10 - Septicemia - Analysis - Blurred
Click to remove blur.

Plastics Coach Tip

Avoid non-steroidal anti-inflammatory drugs (NSAIDs) in patients with necrotizing fasciitis, as it can precipitate renal failure.

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