Nonpseudomonal ecthyma gangrenosum of the upper lid treated with lid reconstruction

• Main Authors: S Praveen Kumar, K V Praveen Kumar, Subashini Kaliaperumal, Arjun Ashokan
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2015-01-01
• Series: Indian Journal of Ophthalmology
• Subjects: Ecthyma; lid necrosis; skin graft
• Online Access: http://www.ijo.in/article.asp?issn=0301-4738;year=2015;volume=63;issue=10;spage=798;epage=800;aulast=Kumar
• ISSN: 0301-4738; 1998-3689

Ecthyma gangrenosum (EG) is a cutaneous infection which usually occurs in immunocompromised patients. We report a case of EG of the eyelid treated with escharotomy and skin grafting, highlighting the importance of surgical management. A 2-year-old Asian Indian female presented to us with right upper lid edema with a large necrotic area. The child received intravenous cefotaxime for a week and the necrotic area turned to a well-defined eschar. Escharotomy with wound debridement and skin grafting was done. The present case highlights the importance of surgical intervention to prevent the sequelae of scarring of upper lid.