Impetigo presenting as an acute necrotizing swelling of the lower lip in an adult patient.
The authors present an unusual case of an acute swelling of the lower lip and septicemia in a 35-year-old, recent immigrant male arriving from India. The patient presented in our emergency department with a 48-hour history of a worsening, painful swelling of the lower lip. On presentation, he was pyrexial and the lip was found to be acutely inflamed with honey-colored crusting, pustular lesions, and induration . A diagnosis of impetigo leading to necrosis of the lip was established, a rare phenomenon potentially resulting in significant tissue destruction. Appropriate medical management achieved a good outcome and prevented disabling tissue loss of the orofacial region.
Royal Wolverhampton New Cross Hospital, Wolverhampton, UK.
Mohammed
M
Ghafoor
Moorthy
M
Halsnad
Christopher
C
Fowell
Brian G
BG
Millar
D000081:Acetamides / Q000008:administration & dosage; D000208:Acute Disease; D000328:Adult; D000890:Anti-Infective Agents / Q000008:administration & dosage; D003937:Diagnosis, Differential; D004338:Drug Combinations; D006801:Humans; D007169:Impetigo / Q000188:drug therapy / Q000473:pathology*; D007275:Injections, Intravenous; D000069349:Linezolid; D008047:Lip Diseases / Q000188:drug therapy / Q000473:pathology*; D008297:Male; D008795:Metronidazole / Q000008:administration & dosage; D009336:Necrosis; D023303:Oxazolidinones / Q000008:administration & dosage
D000081:Acetamides; D000890:Anti-Infective Agents; D004338:Drug Combinations; D023303:Oxazolidinones; D008795:Metronidazole; D000069349:Linezolid