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A case of herpes simplex virus reactivation after fractional ablative carbon dioxide laser to treat a burn scar.
- Source :
-
Journal of cosmetic and laser therapy : official publication of the European Society for Laser Dermatology [J Cosmet Laser Ther] 2019; Vol. 21 (3), pp. 145-146. Date of Electronic Publication: 2018 Jul 18. - Publication Year :
- 2019
-
Abstract
- Fractional photothermolysis was initially introduced by Manstein in 2004 .Fractional CO2 laser technology introduced has allowed physicians to obtain good cosmetic results with a lower rate of complications than non-fractionated ablative laser treatment. However, adverse effects may still occur.Reported cases of HSV infection after fractional photothermolysis are rare. A 48-year-old woman with Fitzpatrick skin type III presented with a scar in her perioral area desiring esthetic improvement of her burn scar. She didn't have a history of recurrent herpes simplex virus (HSV) infection periorally. A fractionated resurfacing laser Quadralase (Candela) was used to treat her perioral burn scar. Two sessions were performed with a month interval. Five days after the second session of laser therapy even after she took antiviral prophylaxis based on valacyclovir 500mg twice daily 24 hours before the laser session and 3 days after, she presented with a rash on the perioral area preceded by pain. Correlation of the history and the clinical presentation was consistent with HSV reactivation. Treatment was initiated with acyclovir 10mg/kg/8h administered intravenously for 10 days with a clearing of her vesicular eruption. Fractional CO2 laser is a very safe procedure when used with accepted parameters. Early recognition, close monitoring and careful wound care will prevent long term sequelae when complications occur.
- Subjects :
- Acyclovir administration & dosage
Acyclovir therapeutic use
Administration, Intravenous
Antibiotic Prophylaxis
Antiviral Agents administration & dosage
Antiviral Agents therapeutic use
Cicatrix etiology
Dose Fractionation, Radiation
Female
Follow-Up Studies
Herpes Simplex drug therapy
Humans
Lasers, Gas therapeutic use
Middle Aged
Mouth pathology
Simplexvirus physiology
Treatment Outcome
Burns complications
Cicatrix radiotherapy
Herpes Simplex etiology
Lasers, Gas adverse effects
Low-Level Light Therapy adverse effects
Simplexvirus radiation effects
Virus Activation radiation effects
Subjects
Details
- Language :
- English
- ISSN :
- 1476-4180
- Volume :
- 21
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Journal of cosmetic and laser therapy : official publication of the European Society for Laser Dermatology
- Publication Type :
- Academic Journal
- Accession number :
- 30019972
- Full Text :
- https://doi.org/10.1080/14764172.2018.1481513