Abstract:
To report a case of group A beta-hemolytic streptococcal infection with signs of early necrotizing fasciitis after cosmetic blepharoplasty in a healthy patient. Interventional case report. A healthy 59-year-old woman underwent outpatient bilateral upper and lower blepharoplasty with midface lifting. Thirty hours postoperatively she developed marked pain and edema of the left eyelids and face, and a violaceous eyelid bulla, which heralded early necrotizing fasciitis. Culture of the serosanguinous exudates from the left eyelid revealed group A beta-hemolytic Streptococcus organisms. The patient was treated with intravenous antibiotics, intravenous corticosteroids, hyperbaric oxygen therapy, and wound debridement. The infection resolved with mild cicatrization of the left upper eyelid.
Goldberg, Li, , , , , , , (2002). Postoperative infection with group A beta-hemolytic Streptococcus after blepharoplasty. American journal of ophthalmology, 2002 Dec;134(6):908-10. https://www.ncbi.nlm.nih.gov/pubmed/12470763