Ecthyma gangrenosum, a skin manifestation of Pseudomonas aeruginosa sepsis in a previously healthy child: A case report.
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-associ...
| Publicado en: | Medicine Vol. 96; no. 2; pp. 1 - 5 |
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| Autores principales: | , , , , , |
| Formato: | case study Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
1/13/2017
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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=120977261&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 120977261 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00257974 2S6 jtl: Medicine issn: 00257974 maglogo: N pubinfo: dt: 1/13/2017 vid: 96 iid: 2 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 120977261 120977261 NLM28079790 120977261 10.1097/MD.0000000000005507 NLM28079790 120977261 ppf: 1 ppct: 4 formats: tig: atl: Ecthyma gangrenosum, a skin manifestation of Pseudomonas aeruginosa sepsis in a previously healthy child: A case report. aug: au: Biscaye, Stephanie Demonchy, Diane Afanetti, Mickael Dupont, Audrey Haas, Herve Tran, Antoine affil: Pediatric Hospitals of Nice CHU-Lenval, Nice, France sug: subj: Pseudomonas Pyoderma Microbiology Sepsis Microbiology Pseudomonas Infections Complications Fatal Outcome Child, Preschool Female Child, Preschool: 2-5 years Female ab: 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. pubtype: Academic Journal doctype: case study Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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