{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T21:06:05Z","timestamp":1765487165344,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,11,16]]},"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:p>Necrotising fasciitis (NF), commonly referred to as \u2018flesh-eating disease\u2019, is a rare but life-threatening infection. It rapidly affects subcutaneous tissue, leading to necrosis of the overlying skin. Though primarily seen in the abdomen, perineum and lower limbs, periorbital involvement is rare. This case report presents an elderly male with periorbital NF following a minor head injury. The patient presented with bilateral periorbital swelling, purulent discharge and necrotic tissue. Microbiological analysis revealed a rare <jats:italic>Enterococcus<\/jats:italic> species as the causative pathogen. MRI and microbiological analysis confirmed the diagnosis. Treatment included intravenous antibiotics, surgical debridement and skin grafting. The patient showed significant improvement post-treatment. This case underscores the importance of prompt diagnosis and treatment to prevent severe complications.<\/jats:p>","DOI":"10.1136\/bcr-2024-262567","type":"journal-article","created":{"date-parts":[[2024,12,18]],"date-time":"2024-12-18T10:06:02Z","timestamp":1734516362000},"page":"e262567","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["<i>Enterococcus<\/i> necrotising fasciitis of the face after minor trauma presenting as periorbital cellulitis"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7262-0175","authenticated-orcid":false,"given":"Rekha Ramesh","family":"Mudhol","sequence":"first","affiliation":[{"name":"Ophthalmology, Shri BM Patil Medical College Hospital and Research Centre, Vijayapura, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1974-3022","authenticated-orcid":false,"given":"Sneha","family":"Lingamaneni","sequence":"additional","affiliation":[{"name":"Ophthalmology, Shri BM Patil Medical College Hospital and Research Centre, Vijayapura, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shruti","family":"Sheelin","sequence":"additional","affiliation":[{"name":"Surgery, Shri BM Patil Medical College Hospital and Research Centre, Vijayapura, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aniketan","family":"Vallabha","sequence":"additional","affiliation":[{"name":"Surgery, Shri BM Patil Medical College Hospital and Research Centre, Vijayapura, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,12,18]]},"reference":[{"key":"2025082623550715000_17.12.e262567.1","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1016\/S0140-6736(94)91956-9","article-title":"Hippocrates on necrotising fasciitis","volume":"344","author":"Descamps","year":"1994","journal-title":"The Lancet"},{"key":"2025082623550715000_17.12.e262567.2","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1017\/S0022215110000514","article-title":"Techniques for early diagnosis and management of cervicofacial necrotising fasciitis","volume":"124","author":"Lee","year":"2010","journal-title":"J Laryngol Otol"},{"key":"2025082623550715000_17.12.e262567.3","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2009.167486"},{"key":"2025082623550715000_17.12.e262567.4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1755-3768.2012.02420.x"},{"key":"2025082623550715000_17.12.e262567.5","doi-asserted-by":"crossref","first-page":"020","DOI":"10.29328\/journal.hor.1001005","article-title":"Facial Necrotizing Fasciitis in Adults. A Systematic Review","volume":"1","author":"Da","year":"2017","journal-title":"Heighpubs Otol Rhinol"},{"key":"2025082623550715000_17.12.e262567.6","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1007\/s00238-020-01743-8","article-title":"Necrotizing fasciitis of the periorbital region: from presentation to reconstructive journey","volume":"44","author":"Haque","year":"2021","journal-title":"Eur J Plast Surg"},{"key":"2025082623550715000_17.12.e262567.7","doi-asserted-by":"crossref","first-page":"43","DOI":"10.29252\/wjps.10.1.43","article-title":"Necrotising Fasciitis: Appearances Can Be Deceptive","volume":"10","author":"Shivalingappa","year":"2021","journal-title":"World J Plast Surg"},{"key":"2025082623550715000_17.12.e262567.8","first-page":"595","article-title":"Locally Increased Incidence of Periorbital Necrotizing Fasciitis","volume":"120","author":"Schuh","year":"2023","journal-title":"Dtsch Arztebl Int"},{"key":"2025082623550715000_17.12.e262567.9","doi-asserted-by":"crossref","DOI":"10.3390\/jpm13111612","article-title":"Periorbital Facial Necrotizing Fasciitis in Adults: A Rare Severe Disease with Complex Diagnosis and Surgical Treatment-A New Case Report and Systematic Review","volume":"13","author":"Pertea","year":"2023","journal-title":"J Pers Med"},{"key":"2025082623550715000_17.12.e262567.10","article-title":"Periorbital Necrotizing Fasciitis: Presentation to Reconstruction","volume":"16","author":"Arun","year":"2024","journal-title":"Cureus"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-262567","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:55:21Z","timestamp":1756277721000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-262567"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12]]},"references-count":10,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2024,12,18]]},"published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10.1136\/bcr-2024-262567"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-262567","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,12]]}}}