A Healthy Infant With an Ulcerated Genital Lesion: Diagnostic and Therapeutic Considerations.
We present the case of a 1-year-old healthy boy who was taking oral antibiotics for an otitis media and then developed an erythematous penile lesion that rapidly became ulcerated. He was admitted to the hospital for further diagnostic studies and intravenous therapy, and his wound culture grew Pseud...
| Publicado en: | Pediatric Emergency Care Vol. 32; no. 1; pp. 46 - 49 |
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| Autores principales: | , |
| Formato: | case study pictorial Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Jan2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112543890&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 112543890 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07495161 4FD jtl: Pediatric Emergency Care issn: 07495161 maglogo: N pubinfo: dt: Jan2016 vid: 32 iid: 1 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 112543890 112543890 NLM26720066 112543890 10.1097/PEC.0000000000000670 NLM26720066 112543890 ppf: 46 ppct: 3 formats: tig: atl: A Healthy Infant With an Ulcerated Genital Lesion: Diagnostic and Therapeutic Considerations. aug: au: Chu, Andrew S. Knerr, Sheila M. affil: Division of General Pediatrics, Children's Hospital of Philadelphia, Sellersville, PA sug: subj: Pseudomonas Infections Drug Therapy Skin Ulcer Microbiology Pseudomonas Infections Microbiology Genitalia, Male Pathology Skin Ulcer Drug Therapy Gangrene Pathology Pyoderma Pathology Genitalia, Male Microbiology Skin Ulcer Pathology Male Emergency Service Pseudomonas Infections Pathology Gangrene Microbiology Pyoderma Microbiology Pseudomonas Antibiotics Therapeutic Use Infant Infant: 1-23 months Male ab: We present the case of a 1-year-old healthy boy who was taking oral antibiotics for an otitis media and then developed an erythematous penile lesion that rapidly became ulcerated. He was admitted to the hospital for further diagnostic studies and intravenous therapy, and his wound culture grew Pseudomonas aeruginosa, consistent with the diagnosis of ecthyma gangrenosum. Serial blood counts also demonstrated a progressive neutropenia, and an immunodeficiency evaluation resulted in the diagnosis of autoimmune neutropenia of childhood. This case illustrates the importance of culturing wounds and the need for clinicians to recognize the characteristic features of ecthyma gangrenosum, to initiate appropriate antipseudomonal antibiotic therapy empirically, and to evaluate for a possible immunodeficiency, even in the apparently healthy child. pubtype: Academic Journal doctype: case study pictorial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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