Necrosis of nose skin after varicella zoster infection: A case report

Snel, B.J.; Visconti, Giuseppe; Grabietz, Patrice D.; Werker, Paul M. N.

doi:10.1016/j.bjps.2009.08.006

Cited by 5 publications

(1 citation statement)

References 10 publications

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“…Extensive lower lip necrosis has been described after chin acne infection (necrotizing fasciitis) and after concomitant herpes zoster and herpes simplex-1 labial infection, both in young patients 5,13 . There are also reports of extensive nasal skin necrosis and maxillary osteonecrosis secondary to herpes zoster [14][15] .…”

Section: Discussionmentioning

confidence: 99%

Combination of phototherapy for treatment of labial necrotizing lesion

Domingues,

Silva,

Dourado

et al. 2024

Braz. J. Oral Sci.

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Lip necrotizing lesions are painful, complex to heal, and negatively impact the patient’s orofacial condition. The present study reports a clinical case of a necrotizing lesion on the lower lip in a 38-year-old male patient, previously healthy, f ive days after receiving the first dose of the SARS-COV-2 vaccine, with an initial diagnosis of labial herpes zoster, with secondary infection and unsatisfactory response to clinical treatment. After debridement of the necrotic tissue, followed by a combination of antimicrobial photodynamic therapy (aPDT), photobiomodulation therapy (PBMT) and hydrofiber dressing with silver, the patient evolved with complete healing of the lip lesion and satisfactory restoration of orofacial functions after 7 days. According to the present case report, this combination of phototherapy modalities suggests to be a promising tool for the treatment of necrotizing labial lesions.

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