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Case Reports
. 2018 Feb 22:2018:bcr2017220962.
doi: 10.1136/bcr-2017-220962.

Bullous eyelid

Zahra N Jaffer  1   2 , Cherie Nicholson  3
Affiliations
Case Reports

Bullous eyelid

Zahra N Jaffer et al. BMJ Case Rep. .

Abstract

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.

Keywords: dermatology; emergency medicine; general practice / family medicine; infectious diseases.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Left eye on presentation to inpatient department: ruptured bulla, violaceous skin changes at inner canthal area, purulence and swelling.
Figure 2
Figure 2
Close up of left eye.
See this image and copyright information in PMC

References

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