Ecthyma gangrenosum without bacteremia in a previously healthy man: A case report

被引：23

作者：

Gençer S. ^{[1
]}

Özer S. ^{[1
]}

Ege Gül A. ^{[2
]}

Doǧan M. ^{[1
]}

Ak Ö. ^{[1
]}

机构：

[1] Department of Infectious Diseases and Clinical Microbiology, Kartal Dr. Lütfi Kirdar Training and Research Hospital, Istanbul

[2] Department of Pathology, Kartal Dr. Lütfi Kirdar Training and Research Hospital, Istanbul

来源：

Journal of Medical Case Reports | / 2卷 / 1期

关键词：

Pseudomonas Aeruginosa; Skin Lesion; Serratia Marcescens; Erysipelas; Negative Blood Culture;

D O I：

10.1186/1752-1947-2-14

中图分类号：

学科分类号：

摘要：

Introduction: Ecthyma gangrenosum is known as a characteristic lesion of Pseudomonas aeruginosa sepsis and is usually seen in immunocompromised patients. Case presentation: A previously healthy 63-year-old man was admitted with sloughy necrotic ulcerations of the skin over his sternum. He was afebrile and in good condition. A skin biopsy revealed ecthyma gangrenosum. Blood cultures remained sterile, but a culture of biopsy material grew Pseudomonas aeruginosa. Conclusion: Ecthyma gangrenosum may develop even in the absence of bacteremia and even in immunocompetent patients. It should be considered as a possible diagnosis even when a previously healthy patient has negative blood cultures. © 2008 Gençer et al; licensee BioMed Central Ltd.

引用

共 10 条

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