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 py...

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Published in:Oral surgery, oral medicine, oral pathology and oral radiology Vol. 113; no. 6; pp. e22 - e24
Main Authors: Ghafoor, Mohammed, Halsnad, Moorthy, Fowell, Christopher, Millar, Brian G.
Format: Journal Article
Language:English
Published: United States Mosby, Inc 01.06.2012
Subjects:
Acetamides - administration & dosage
Acute Disease
Adult
Anti-Infective Agents - administration & dosage
Diagnosis, Differential
Drug Combinations
Humans
Impetigo - drug therapy
Impetigo - pathology
Injections, Intravenous
Linezolid
Lip Diseases - drug therapy
Lip Diseases - pathology
Male
Metronidazole - administration & dosage
Necrosis
Oxazolidinones - administration & dosage
Surgery
ISSN:2212-4403, 2212-4411, 2212-4411
Online Access:Get full text
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Summary: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.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ISSN:2212-4403
2212-4411
2212-4411
DOI:10.1016/j.tripleo.2011.08.014