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Multiple Ecthyma Gangrenosum in a Healthy Infant With Community-Acquired Pseudomonas aeruginosa Sepsis.

We report the case of a previously healthy 8-month-old infant girl with Pseudomonas aeruginosa sepsis who presented to a pediatric emergency department with multiple ecthyma gangrenosum. Skin manifestations are uncommon in Pseudomonas infection. Ecthyma gangrenosum is a rare, distinct skin disorder...

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Published in:Pediatric Emergency Care Vol. 26; no. 10; pp. 750 - 752
Main Authors: Wu CT, Huang JL
Format: case study Journal Article
Published: Lippincott Williams & Wilkins 2010 Oct
Online Access:View this record in EBSCOhost
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      jtl: Pediatric Emergency Care
      issn: 07495161
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      dt: 2010 Oct
      vid: 26
      iid: 10
      pid: 433
      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        10.1097/PEC.0b013e3181f39b5e
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      tig:
        atl: Multiple Ecthyma Gangrenosum in a Healthy Infant With Community-Acquired Pseudomonas aeruginosa Sepsis.
      aug:
        au:
          Wu CT
          Huang JL
        affil: From the Division of Pediatric Emergency Medicine, Department of Pediatrics, Chang Gung Children's Hospital, Chang Gung University, College of Medicine, Taoyuan county, Taiwan.
      sug:
        subj:
          Community-Acquired Infections Microbiology
          Pyoderma Etiology
          Pseudomonas Infections Microbiology
          Shock, Septic Complications
          Acidosis Etiology
          Antibiotics Therapeutic Use
          Combined Modality Therapy
          Community-Acquired Infections Drug Therapy
          Dopamine Therapeutic Use
          Drug Therapy, Combination
          Pyoderma Microbiology
          Emergencies
          Fatal Outcome
          Female
          Gangrene
          Immunocompetence
          Infant
          Oxygen Therapy
          Pseudomonas Infections Drug Therapy
          Respiration, Artificial
          Respiratory Failure Etiology
          Respiratory Failure Therapy
          Shock, Septic Drug Therapy
          Shock, Septic Microbiology
          Infant: 1-23 months
          Female
      ab: We report the case of a previously healthy 8-month-old infant girl with Pseudomonas aeruginosa sepsis who presented to a pediatric emergency department with multiple ecthyma gangrenosum. Skin manifestations are uncommon in Pseudomonas infection. Ecthyma gangrenosum is a rare, distinct skin disorder associated with potentially fatal underlying Pseudomonas sepsis. Although typically occurring in immunocompromised or neutropenic patients, it can occasionally affect otherwise healthy children. This case demonstrates the critical importance of the pediatrician's identification of ecthyma gangrenosum to give directed antipseudomonal therapy.
      pubtype: Academic Journal
      doctype:
        case study
        Journal Article
      ougenre: Article
    language: English
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