Streptococcus pyogenes-associated facial infection with orbital involvement: a spectrum analysis of cases based on clinical course

This article aims to present the diagnostic and treatment process for patients with rapidly progressing inflammation of the facial soft tissues, most often caused by group A β-hemolytic streptococci, with particular emphasis on the observed ophthalmological complications. The primary goal is to demo...

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Main Authors: Alicja Karaś-Marczak, Witold Kokot, Agnieszka Długońska, Aleksandra Kokot
Format: Article
Language:English
Published: Termedia Publishing House 2025-03-01
Series:Klinika Oczna
Subjects:
Online Access:https://www.termedia.pl/Streptococcus-pyogenes-associated-facial-infection-with-orbital-involvement-a-spectrum-analysis-of-cases-based-on-clinical-course,124,55833,1,1.html
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author Alicja Karaś-Marczak
Witold Kokot
Agnieszka Długońska
Aleksandra Kokot
author_facet Alicja Karaś-Marczak
Witold Kokot
Agnieszka Długońska
Aleksandra Kokot
author_sort Alicja Karaś-Marczak
collection DOAJ
description This article aims to present the diagnostic and treatment process for patients with rapidly progressing inflammation of the facial soft tissues, most often caused by group A β-hemolytic streptococci, with particular emphasis on the observed ophthalmological complications. The primary goal is to demonstrate the rationale behind therapeutic decisions and interventions, highlighting their consequences and underscoring the need for prompt surgical intervention in cases of necrotizing tissue inflammation. Inflammation of the facial soft tissues extending beyond the orbital septum involves the periorbital space and the bony boundaries of the orbit. This clinical condition carries a risk of severe complications affecting the eye. The article examines five medical cases observed at St. Adalbert’s Hospital in Gdansk during 2022/2023. The cases presented differ in the severity of disease progression − ranging from mild inflammation to rapidly advancing optic nerve damage, resulting in permanent monocular vision loss.
format Article
id doaj-art-a35c0bd4d0b4477a9e00a8736b43cbf4
institution DOAJ
issn 0023-2157
2719-3209
language English
publishDate 2025-03-01
publisher Termedia Publishing House
record_format Article
series Klinika Oczna
spelling doaj-art-a35c0bd4d0b4477a9e00a8736b43cbf42025-08-20T02:58:37ZengTermedia Publishing HouseKlinika Oczna0023-21572719-32092025-03-011271293310.5114/ko.2025.14877255833Streptococcus pyogenes-associated facial infection with orbital involvement: a spectrum analysis of cases based on clinical courseAlicja Karaś-MarczakWitold KokotAgnieszka DługońskaAleksandra KokotThis article aims to present the diagnostic and treatment process for patients with rapidly progressing inflammation of the facial soft tissues, most often caused by group A β-hemolytic streptococci, with particular emphasis on the observed ophthalmological complications. The primary goal is to demonstrate the rationale behind therapeutic decisions and interventions, highlighting their consequences and underscoring the need for prompt surgical intervention in cases of necrotizing tissue inflammation. Inflammation of the facial soft tissues extending beyond the orbital septum involves the periorbital space and the bony boundaries of the orbit. This clinical condition carries a risk of severe complications affecting the eye. The article examines five medical cases observed at St. Adalbert’s Hospital in Gdansk during 2022/2023. The cases presented differ in the severity of disease progression − ranging from mild inflammation to rapidly advancing optic nerve damage, resulting in permanent monocular vision loss.https://www.termedia.pl/Streptococcus-pyogenes-associated-facial-infection-with-orbital-involvement-a-spectrum-analysis-of-cases-based-on-clinical-course,124,55833,1,1.htmlfacial cellulitis complication erysipelas streptococcal infection skin and soft tissue infection surgical intervention.
spellingShingle Alicja Karaś-Marczak
Witold Kokot
Agnieszka Długońska
Aleksandra Kokot
Streptococcus pyogenes-associated facial infection with orbital involvement: a spectrum analysis of cases based on clinical course
Klinika Oczna
facial cellulitis complication
erysipelas
streptococcal infection
skin and soft tissue infection
surgical intervention.
title Streptococcus pyogenes-associated facial infection with orbital involvement: a spectrum analysis of cases based on clinical course
title_full Streptococcus pyogenes-associated facial infection with orbital involvement: a spectrum analysis of cases based on clinical course
title_fullStr Streptococcus pyogenes-associated facial infection with orbital involvement: a spectrum analysis of cases based on clinical course
title_full_unstemmed Streptococcus pyogenes-associated facial infection with orbital involvement: a spectrum analysis of cases based on clinical course
title_short Streptococcus pyogenes-associated facial infection with orbital involvement: a spectrum analysis of cases based on clinical course
title_sort streptococcus pyogenes associated facial infection with orbital involvement a spectrum analysis of cases based on clinical course
topic facial cellulitis complication
erysipelas
streptococcal infection
skin and soft tissue infection
surgical intervention.
url https://www.termedia.pl/Streptococcus-pyogenes-associated-facial-infection-with-orbital-involvement-a-spectrum-analysis-of-cases-based-on-clinical-course,124,55833,1,1.html
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AT witoldkokot streptococcuspyogenesassociatedfacialinfectionwithorbitalinvolvementaspectrumanalysisofcasesbasedonclinicalcourse
AT agnieszkadługonska streptococcuspyogenesassociatedfacialinfectionwithorbitalinvolvementaspectrumanalysisofcasesbasedonclinicalcourse
AT aleksandrakokot streptococcuspyogenesassociatedfacialinfectionwithorbitalinvolvementaspectrumanalysisofcasesbasedonclinicalcourse