Abstract:
RATIONALE:Ecthyma gangrenosum (Eg) is a necrotic lesion that is mostly seen in immunocompromised patients. It reflects a severe sepsis, possibly caused by Pseudomonas aeruginosa (Pa). PATIENT CONCERNS:A healthy 3-year-old girl admitted to the Pediatric Emergency Department presented a sepsis-associated purpura with neurological and respiratory distress. INTERVENTIONS:An empiric antibiotherapy (anti-meningococcal) was prescribed. DIAGNOSES:Forty-eight hours after admission, blood and wound cultures were positive for Pa. As a result, the decision was made to change the antibiotic therapy.Unfortunately, on day 3, the patient died. Exhaustive immunologic tests are presently being carried out. OUTCOMES:Eg caused by Pa is uncommon in healthy children, and purpura sepsis is usually caused by Neisseria meningitides infection. LESSONS:Eg should be recognized rapidly so that the appropriate treatment can be prescribed as quickly as possible.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Biscaye S,Demonchy D,Afanetti M,Dupont A,Haas H,Tran Adoi
10.1097/MD.0000000000005507subject
Has Abstractpub_date
2017-01-01 00:00:00pages
e5507issue
2eissn
0025-7974issn
1536-5964pii
00005792-201701130-00005journal_volume
96pub_type
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