Abstract

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.

Keywords

Publication details

DOI
10.4103/0974-620x.149874
Journal
Oman Journal of Ophthalmology, 8(1), 64-66
Publisher
Medknow Publications
Open access
Gold open access

Cite this article

APA 7

Jain, J., Thatte, S., & Singhai, P. (2015). Periorbital varicella gangrenosa: A rare complication of chicken pox. Oman Journal of Ophthalmology, 8(1), 64-66. https://doi.org/10.4103/0974-620x.149874

MLA 9

Jain, Jagriti, et al. "Periorbital varicella gangrenosa: A rare complication of chicken pox." Oman Journal of Ophthalmology, vol. 8, no. 1, 2015, pp. 64-66. https://doi.org/10.4103/0974-620x.149874.

Chicago (author–date)

Jain, Jagriti, Shreya Thatte, and Prakhar Singhai. 2015. "Periorbital varicella gangrenosa: A rare complication of chicken pox." Oman Journal of Ophthalmology 8 (1): 64-66. https://doi.org/10.4103/0974-620x.149874.

Harvard

Jain, J., Thatte, S. and Singhai, P. (2015) 'Periorbital varicella gangrenosa: A rare complication of chicken pox', Oman Journal of Ophthalmology, 8(1), pp. 64-66. doi:10.4103/0974-620x.149874.

Vancouver

Jain J, Thatte S, Singhai P. Periorbital varicella gangrenosa: A rare complication of chicken pox. Oman Journal of Ophthalmology. 2015;8(1):64-66. doi:10.4103/0974-620x.149874

IEEE

J. Jain, S. Thatte, and P. Singhai, "Periorbital varicella gangrenosa: A rare complication of chicken pox," Oman Journal of Ophthalmology, vol. 8, no. 1, pp. 64-66, 2015, doi: 10.4103/0974-620x.149874.