title: Nonpseudomonal ecthyma gangrenosum of the upper lid treated with lid reconstruction.
abstract: 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.
authors.forename: S Praveen
authors.initials: SP
authors.lastname: Kumar
authors.affiliation: Department of Ophthalmology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
authors.forename: K V Praveen
authors.initials: KV
authors.lastname: Kumar
authors.forename: Subashini
authors.initials: S
authors.lastname: Kaliaperumal
authors.forename: Arjun
authors.initials: A
authors.lastname: Ashokan
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002439:Cefotaxime / Q000627:therapeutic use; D002675:Child, Preschool; D003646:Debridement; D004473:Ecthyma / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D005141:Eyelid Diseases / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D005260:Female; D006801:Humans; D007262:Infusions, Intravenous; D019651:Plastic Surgery Procedures; D017192:Skin Diseases, Bacterial / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D016038:Skin Transplantation; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy
chemical_list: D000900:Anti-Bacterial Agents; D002439:Cefotaxime