Mycotic Necrotizing Fasciitis of the Face: A Case Report and Review of Literature
Journal Title: Journal of Dermatology Research - Year 2024, Vol 5, Issue 3
Abstract
Necrotizing fasciitis is a rare but potentially serious and fatal infection. It is a dermo-hypodermitis with necrosis of the superficial fascia, typically caused by Streptococcus pyogenes. However, rare cases of fungal necrotizing fasciitis have been reported. We report the case of a 65-year-old type II diabetic patient who developed necrotizing cellulitis of the right hemiface with homolateral orbito-palpebral extension. The initial management was based on drainage of purulent collections with resection of necrotic tissues associated with parenteral antibiotherapy without clinical improvement. Bacteriological sampling revealed the presence of yeast. The mycological examination was positive for Candida albicans resistant to fluconazole. Antifungal treatment with intravenous amphotericin B was initiated with good clinical progression and complete remission after 1 month. The aim of this paper is to highlight the importance of promptly considering this diagnosis and extending the initial assessment of necrotic skin lesions to include mycological examination to detect severe forms of cutaneous candidiasis.
Authors and Affiliations
Mohamed Afellah¹*, Hind Boukaaba², Guennoun Oumaima²,Anouar El youbi¹, Taha Jazzar², Naouar Ouattassi¹, Mohamed Ridal¹, Najib Benmanssour¹, Dounia Kamal², Mohamed Nourddine Elalami¹
Keywords
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- EP ID EP750280
- DOI https://doi.org/10.46889/JDR.2024.5308
- Views 21
- Downloads 0
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