Ecthyma gangrenosum and agranulocytosis in a previously healthy 12-month-old girl: Report of 1 case with a literature review.
10.4168/aard.2018.6.4.229
- Author:
Ji Soo YOON
1
;
Dong Hyun KIM
;
Seung Ju LEE
;
Hyun Ho BANG
;
Sun Mi BAE
;
Kyeong Bae PARK
;
Sung Yul LEE
;
Ki Jin JUNG
;
Young Jin CHOI
;
Hyun Jung LEE
;
Joon Soo PARK
Author Information
1. Department of Pediatrics, Soonchunhyang Unversity College of Medicine, Cheonan, Korea. pjstable@schmc.ac.kr
- Publication Type:Case Report
- Keywords:
Ecthyma gangrenosum;
Agranulocytosis;
Pseudomonas aeruginosa
- MeSH:
Agranulocytosis*;
Bacteremia;
Child;
Ecthyma*;
Female*;
Humans;
Infant*;
Influenza, Human;
Pseudomonas aeruginosa;
Rhinovirus;
Scrub Typhus;
Sepsis;
Skin;
Skin Manifestations;
Ulcer;
Wounds and Injuries
- From:Allergy, Asthma & Respiratory Disease
2018;6(4):229-233
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Ecthyma gangrenosum (EG) is a rare skin manifestation which starts with a maculopapular eruption and followed by a necrotic ulcer covered with black eschar. EG usually occurs in immunosuppressed patients with Pseudomonas aeruginosa sepsis. We present a previously healthy 12-month-old girl with EG by P. aeruginosa and agranulocytosis due to influenza A and then rhinovirus infection, without bacteremia. It is important for allergists to culture wound and differentiate EG from other skin disorders including Tsutsugamushi disease and initiate appropriate empiric antipseudomonal antibiotic treatment, and to evaluate for possible immunodeficiency, even in a healthy child.
