Noise can induce excitable systems to make time-limited transitions between quiescent and active states. Here we investigate the possibility that these transitions occur locally in a spatially extended medium, leading to the occurrence of spatiotemporal patches of activation. We show that this can in fact occur in a parameter range such that there exist (in general unstable) localized solutions of the governing deterministic reaction-diffusion equations. Our work is motivated by a recent biological example showing transiently excited cell membrane regions.