Recurrent staphylococcal conjunctivitis associated with facial impetigo contagiosa
AMERICAN JOURNAL OF OPHTHALMOLOGY
Authors: Durkin, SR; Selva, D; Huilgol, SC; Guy, S; Leibovitch, I
Abstract
PURPOSE: To report the uncommon occurrence of impetigo contagiosa in the setting of recurrent staphylococcal conjunctivitis. DESIGN: Interventional case report. METHODS: A 32-year-old patient had a recurrent painful red left eye and facial rash. Clinical examination revealed left bacterial conjunctivitis and facial bullous impetigo. Microbiology cultures were taken from the nose, conjunctiva, and facial lesions. RESULTS: Microbiologic cultures grew Staphylococcus aureus, and hematology findings demonstrated an elevated white cell count with neutrophilia. Complete resolution was achieved with topical chloramphenicol ointment and oral dicloxacillin. CONCLUSIONS: Although uncommon, bullous impetigo may be associated with recurrent staphylococcal conjunctivitis in adults. Recurrent infections may require nasal decolonization, systemic antibiotics, and antiseptic body wash.
Allergy and skin infection after use of temporary henna tattoo - case report
LAEKNABLADID
Authors: Bjoernsson, Hjalti Mar; Einarsdottir, Asa Elisa; Clausen, Michael V.
Abstract
We describe a case of a 10 year old boy who developed an contact dermatitis to black henna tattoo. Sixteen days later he was brought to the emergency department because of an presumed superinfection by S. aureus. The infection was successfully treated with dicloxacillin and the allergic reaction with bethametasone ointment and tablets. The use of pure henna is legal but has been proven to be harmful in animal experiments. Para-phenylendiamine (PPD) has been mixed with henna to achieve a darker colour and to decrease the treatment time and is well known to cause allergic reactions.