AU - Kumar, S AU - Kumar, K V AU - Kaliaperumal, Subashini AU - Ashokan, Arjun TI - Nonpseudomonal ecthyma gangrenosum of the upper lid treated with lid reconstruction PT - BRIE DP - 2015 Oct 1 TA - Indian Journal of Ophthalmology PG - 798-800 VI - 63 IP - 10 4099- https://journals.lww.com/ijo/pages/default.aspx/article.asp?issn=0301-4738;year=2015;volume=63;issue=10;spage=798;epage=800;aulast=Kumar;type=0 4100- https://journals.lww.com/ijo/pages/default.aspx/article.asp?issn=0301-4738;year=2015;volume=63;issue=10;spage=798;epage=800;aulast=Kumar AB - Ecthyma gangrenosum (EG) is a cutaneous infection which usually occurs in immunocompromised patients. We report a case of EG of the eyelid treated with escharotomy and skin grafting, highlighting the importance of surgical management. A 2-year-old Asian Indian female presented to us with right upper lid edema with a large necrotic area. The child received intravenous cefotaxime for a week and the necrotic area turned to a well-defined eschar. Escharotomy with wound debridement and skin grafting was done. The present case highlights the importance of surgical intervention to prevent the sequelae of scarring of upper lid.