(8) In the case we have presented, the primary infection most probably originated in the lower respiratory tract, and we also identified a secondary cutaneous determination, ecthyma
Abbreviations EG - ecthyma
gangrenosum PA - Pseudomonas aeruginosa WBC - white blood cell Case 2
Gangrenosum: A rare cutaneous manifestation caused by of Stenotrophomonas Maltophilia in a leukemic patient.
is not usually lethal, and lesions typically resolve within 2 to 4 weeks; however, death may result if secondary complications such as bacterial infections or myiasis develop .
Over the years, bacterial skin disorders such as impetigo, ecthyma
, folliculitis, eczemas, and urticarias are one of the most common causes of hospital visits in the southeastern part of Nigeria.
maltophilia including metastatic and primary cellulitis and ecthyma
gangrenosum have also been reported, predominantly in patients receiving chemotherapy for hematologic malignancies [13-15].
also called contagious pustular dermatitis or scabby mouth is a zoonotic disease, called orf in humans, which is caused by a double-stranded DNA virus, ORFV, and usually affects sheep and goats [1, 2].
Infectious Noninfectious Atypical mycobacteria Vascular Mycobacterium marinum Polyarteritis nodosa Mycobacterium ulcerans ANCA-associated vasculitis Tuberculosis (cutaneous) Cryoglobulinemic vasculitis Leishmaniasis (cutaneous) Venous stasis Ecthyma
gangrenosum Thrombophilia Anthrax (cutaneous) Antiphospholipid syndrome Syphilitic gumma Malignancy Deep fungal infections Squamous/basal cell carcinoma Sporotrichosis Cutaneous T-cell lymphoma Zygomycosis Drug-induced/toxin Aspergillosis Cutaneous lupus (hydralazine, (primary cutaneous) TNF-alpha inhibitors) Penicilliosis (HIV with Hydroxyurea CD4 < 100/[micro]L) Injection drug use with Venomous bite (brown secondary infection recluse spider)
The other diagnoses were folliculitis in 10 patients, furuncle in 8 patients and ecthyma
in 2 patients (Table 3).
The causative agent of pseudocowpox is member of genus Parapoxvirus, with close similarity to viruses of infectious popular stomatitis and contagious ecthyma
(Radostits et al., 2006).
(8-12) The clinical presentation consists of a single, painful area of cellulitis, which often progress into ecthyma
. Necrosis may develop rapidly and subsequent dissemination to adjacent tissue may follow.
The differential diagnosis for herpes zoster infections includes herpes simplex virus (HSV), contact dermatitis, lichen striatus, and ecthyma