caused by Escherichia coli bacteremia: A case report and review of the literature.
is a cutaneous finding related with Pseudomonas aeruginosa.
Necrotic lesions resembling ecthyma gangrenosum
can have various microbiological etiology, and can occur in immunocompetent or even healthy persons.
Histopathological analysis of the skin lesion on the right hip revealed ecthyma gangrenosum
is a necrotizing cutaneous infection caused by gram-negative bacteria, most commonly Pseudomonas aeruginosa.
Skin lesions in severely ill patients associated with specific aetiological agents Skin lesion Clinical Pathogen associations Petichae and/or purpura Meningitis Neisseria meningitides Tick bite Tick bite fever, Crimean-Congo haemorrhagic fever Dog bite Capnocytophaga canimorsus Ecthyma gangrenosum
Neutropenia Pseudomonas aeruginosa (bullous with central haemorrhage/necrosis) Generalised erythroderma Toxic shock Staphylococcus aureus syndrome or Streptococcus pyogenes
Our patient, a previously healthy 5-month-old infant, presented with malignant otitis externa, ecthyma gangrenosum
and pneumonia, but without bacteraemia.
combined with multiple perforations of the small intestine associated with Pseudomonas aeruginosa.
Differential diagnoses for cutaneous anthrax include brown recluse spider bites, ecthyma gangrenosum
, tularemia, staph infections, and herpes labialis.
Infections Atypical mycobacteria Bacterial - Streptococcus - Staphylococcus (especially MRSA) - Lyme borreliosis - Cutaneous anthrax - Syphilis - Gonococcemia - Ricketsial disease - Tularemia Deep Fungal - Sporotrichosis - Aspergillosis - Cryptococcosis Ecthyma gangrenosum
(Pseudomonas aeruginosa) Parasitic (Leishmaniasis) Viral (herpes simplex, herpes zoster (shingles)) Vascular occlusive or venous disease Antiphospholipid-antibody syndrome Livedoid vasculopathy Small-vessel occlusive arterial disease Venous statis ulcer Necrotising vasculitis Leukocytoclastic vaculitis Polyarteritis nodosa Takayasu's arteritis Wegeners granulomatosis Neoplastic disease Leukemia cutis Lymphoma (e.
is a cutaneous manifestation of Pseudomonas infection that confusing to diagnose due to similarities with other pathologies and that can have devastating consequences for the patient and even cause death.
Other bullous or ulcerative infectious conditions in neonates include ecthyma gangrenosum
, in which disk-shaped purple papules can evolve into bullae, erosions, and necrotic ulcers with eschar.