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CASE REPORT
Year : 2015  |  Volume : 8  |  Issue : 1  |  Page : 64-66

Periorbital varicella gangrenosa: A rare complication of chicken pox


Department of Ophthalmology, Sri Aurobindo Institute of Medical Science and P.G. Institute, Indore, Madhya Pradesh, India

Correspondence Address:
Jagriti Jain
149, Kalindi Kunj, Pipliyana, Indore, Madhya Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-620X.149874

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A previously healthy six year old male child presented in pediatrics ICU in state of shock with history of fever and rashes and later was diagnosed as chicken pox. He developed right sided periorbital varicella gangrenosa which is a form of necrotizing fasciitis secondary to skin infection. Patient was treated with intravenous acyclovir, antibiotics, amphotericin B, extensive debridement and later reconstruction of upper eyelid with skin grafting. Aggressive treatment helped preventing the eyeball and orbital involvement which would have necessitated orbital exenteration. However delayed presentation resulted in necrosis of orbicularis oculi and underlying tissue which resulted in graft retraction and lid dysfunction. Clinicians should be aware of this rare but fulminating condition to minimise the sight and life threatening complications associated with it.


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