DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20170729

Ecthyma gangrenosum in a neonate

Vindhiya K., Lakshmi Charan C., Aishwarya D., Sindhu M.

Abstract


Ecthyma gangrenosum (EG) is a rare skin infection caused by pseudomonas aeruginosa. It typically occurs in immunocompromised and critically ill patients but can occur rarely in healthy children. 28 days old neonate presented with widespread vesiculobullous lesions which ruptured to form punched out gangrenous ulcers with black eschar. Blood and pus culture grew Pseudomonas aeruginosa and diagnosis of EG due to pseudomonas was made. Despite appropriate measures, baby succumbed to the illness. Rapid progression of the lesions and high mortality rate emphasize the importance of early suspicion and proper treatment. 


Keywords


Ecthyma gangrenosum, Neonate, Pseudomonas

Full Text:

PDF

References


Huminer D, Igra SY, Morduchowicz G. Ecthyma gangrenosum without bacteremia. Report of six cases and review of the literature. Arch Intern Med. 1987;2013:299-301.

Foca MD. Pseudomonas aeruginosa infections in the neonatal intensive care unit. Semin Perinatol. 2002;2013:332-9.

Patel JK, Perez OA, Viera MH. Ecthyma gangrenosum caused by Escherichia coli bacteremia: a case report and review of the literature. Cutis. 2009;2013:261-7.

Koo SH, Lee JH, Shin H, Lee JI. Ecthyma gangrenosum in a previously healthy infant. Arch Plast Sur. 2012;39:673-5.

Pechter PM, Marchione R, Milikowski C, Berman B. Ecthyma gangrenosum secondary to Staphylococcus aureus in an infant with transient neutropenia. Pediatr Dermatol. 2012;29:320-3.

Fink M, Conrad D, Matthews M, Browning JC. Primary ecthyma gangrenosum as a presenting sign in a child. Dermatol Online J. 2012;18:3.

Pena C, Suarez C, Gozalo M, Murillas J, Almirante B. Prospective multicenter study of the impact of carbapenem resistance on mortality in Pseudomonas aeruginosa bloodstream infections. Antimicrobial Agents and Chemotherapy. 2011;56:1265-72.