Keywords
Abstract
Background: Eczema herpeticum is an infection caused by herpes simplex virus in patients affected with atopic dermatitis, among its complications we can find meningitis, encephalitis, acute liver failure, and Staphylococcus aureus infection.
Case report: We report the case of a female patient of 5 years of age, with a history of atopic dermatitis complicated by eczema herpeticum, who was treated initially without relief. Her hospital stay was complicated with cross infections, which prolonged her course. Immediately after the start of treatment, the patient showed improvement.
Conclusion: Eczema herpeticum is a rare complication of atopic dermatitis, it must be suspected based on patient history and physical examination. Therefore, early recognition and diagnosis are of clinical importance. Without an appropriate approach, these patients can present shock, sepsis, and death
References
Langan SM, Irvine AD, Weidinger S. Atopic dermatitis [published correction appears in Lancet. 2020 Sep 12;396(10253):758]. Lancet. 2020;396(10247):345-360. doi:10.1016/S0140-6736(20)31286-1
Khan A, Shaw L, Bernatoniene J. Fifteen-minute consultation: eczema herpeticum in a child. Arch Dis Child Educ Pract Ed. 2015;100(2):64-68. doi:10.1136/archdischild-2013-304460
Damour A, Garcia M, Seneschal J, Lévêque N, Bodet C. Eczema Herpeticum: Clinical and Pathophysiological Aspects. Clin Rev Allergy Immunol. 2020;59(1):1-18. doi:10.1007/s12016-019-08768-3
Traidl S, Roesner L, Zeitvogel J, Werfel T. Eczema herpeticum in atopic dermatitis. Allergy. 2021;76(10):3017-3027. doi:10.1111/all.14853
Micali G, Lacarrubba F. Eczema Herpeticum. N Engl J Med. 2017;377(7):e9. doi:10.1056/NEJMicm1701668
Papadopoulos AJ, Janniger CK, Schwartz RA. Chickenpox. Published 2022. Accessed September 20, 2022. https://emedicine.medscape.com/article/1131785-overview
Hsu DY, Shinkai K, Silverberg JI. Epidemiology of Eczema Herpeticum in Hospitalized U.S. Children: Analysis of a Nationwide Cohort. J Invest Dermatol. 2018;138(2):265-272. doi:10.1016/j.jid.2017.08.039
Arista-Olvera NX, Lozano-Nuevo JJ, García-López VH, et al. Infección nosocomial por Acinetobacter y su efecto en un hospital de segundo nivel. Med Int Mex. 2019;35(4):477-484. doi:https://doi.org/10.24245/mim.v35i4.2368
Fleming P, Drucker AM. Risk of infection in patients with atopic dermatitis treated with dupilumab: A meta-analysis of randomized controlled trials. J Am Acad Dermatol. 2018;78(1):62-69.e1. doi:10.1016/j.jaad.2017.09.052
.Puar N, Chovatiya R, Paller AS. New treatments in atopic dermatitis. Ann Allergy Asthma Immunol. 2021;126(1):21-31. doi:10.1016/j.anai.2020.08.016
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright (c) 2023 Revista Alergia México