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Bullous eyelid
  1. Zahra N Jaffer1,2,
  2. Cherie Nicholson3
  1. 1Department of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto, Canada
  2. 2Family Medicine, Weeneebayko Area Health Authority, Moose Factory, Canada
  3. 3Postgraduate Medicine, University of Toronto, Toronto, Canada
  1. Correspondence to Dr Zahra N Jaffer, zahra.jaffer{at}


Periocular necrotising fasciitis is a rare but sight-threatening condition, which relies on clinical judgement to detect in a timely manner. A 51-year-old woman presented to a rural hospital with rapid onset bilateral eye swelling, erythema and pain and was started on broad spectrum intravenous antibiotics. Upon admission, she became septic and required fluid resuscitation and transfer to a higher level of care. She received debridement and continued intravenous antibiotics, with step down to oral when clinically stable. Rapid recognition and treatment of her condition resulted in a positive outcome.

  • dermatology
  • emergency medicine
  • general practice / family medicine
  • infectious diseases
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  • Contributors ZNJ revised the draft for critical content and completed the final version for submission. CN drafted the initial article and revised the content.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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