Medical management of non-progressive periorbital necrotizan fasciitis

Necrotising fasciitis is a serious soft tissue infection with a significant fatality rate. Although the cause may be polymicrobial, most known microbial agents are Streptococcus pyogenes and Staphyylococcus aureus. Early recognition and aggressive surgical debridement are usually required to prevent the rapid spread of infection. We report a case of necrotising fasciitis of the eyelids who had a good response with intravenous antibiotic therapy alone.