Hyperbaric oxygen therapy as further adjunctive therapy in the treatment of periorbital necrotizing fasciitis caused by group A Streptococcus.

observed an overall rate of 14.42% (15 cases on 104). 2 While advanced age (50 years), immunosuppression, and streptococcal toxic shock syndrome were identified as three significant independent predictors of mortality from NF affecting other body sites, in periorbital NF, risk factors for mortality mainly included the causative organisms (and therefore streptococcal toxic shock syndrome), because all cases of death were caused by -hemolytic streptococcus (BHS) alone or BHS associated with other bacterial cultures. 2 We found no strong correlation with age of patients older than 50 years or with the presence of associated chronic illness. 2