Correspondence
Periorbital necrotizing fasciitis in a previously healthy male
A 34-year-old previously healthy male construction worker presented to an Urgent Care Centre with rapidly progressing left upper eyelid swelling and severe pain associated with increasing edema of the orbit and face. He had been discharged from the same Urgent Care Centre 4 hours prior with a suspected acute hordeolum. On arrival, his vital signs were: temperature 36.7°C, blood pressure 148/86 mm Hg, heart rate 97 beats/min, and oxygen saturation of 98% on room air. His condition deteriorated over the next 30 minutes with rapid progression of orbit and facial edema.Glucose transporter isoform-1 receptor–positive infantile capillary hemangiomas: case report and literature review
A previously healthy 4-month-old child presented with a right-sided medial canthal subcutaneous mass that was present for 2 weeks (Fig. 1). Parents stated it had been growing in size since it appeared, and there was tearing from this eye. Clinically, location and discolouration gave the appearance of a dacryocystocele; however, the lesion was firm and appeared adherent to the bone. The ocular examination was otherwise normal. Probing of the nasolacrimal duct showed free flow into the nose and did not decompress the lesion.
