Ecthyma gangrenosum in a 3-month-old, previously healthy infant: A Case Report.
Rationale: Ecthyma gangrenosum (EG) is an aggressive cutaneous disease caused by local or systemic infection with Pseudomonas aeruginosa. EG is characterized by cutaneous manifestations ranging from nodule and papule, to necrotic ulceration with surrounding erythema, especially with black eschar or...
| Publicado en: | Medicine Vol. 96; no. 10; pp. 1 - 4 |
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| Autores principales: | , , , , , , , , , |
| Formato: | case study Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
3/10/2017
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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=121983337&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 121983337 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00257974 2S6 jtl: Medicine issn: 00257974 maglogo: N pubinfo: dt: 3/10/2017 vid: 96 iid: 10 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 121983337 121983337 NLM28272221 121983337 10.1097/MD.0000000000006244 NLM28272221 121983337 ppf: 1 ppct: 3 formats: tig: atl: Ecthyma gangrenosum in a 3-month-old, previously healthy infant: A Case Report. aug: au: Xiao-ting Zhang Wan-wan Jin Xin-hua Ma Hai-feng Yu Xu-hua Tang Zhang, Xiao-Ting Jin, Wan-Wan Ma, Xin-Hua Yu, Hai-Feng Tang, Xu-Hua affil: Department of Dermatology, The Second Affiliated Hospital & Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, People’s Republic of China. sug: subj: Gangrene Microbiology Pyoderma Gangrenosum Microbiology Pseudomonas Pseudomonas Infections Drug Therapy Sepsis Microbiology Gangrene Surgery Thienamycins Therapeutic Use Infant Antibiotics Therapeutic Use Gangrene Drug Therapy Sepsis Drug Therapy Female Sepsis Surgery Pyoderma Gangrenosum Drug Therapy Ceftazidime Therapeutic Use Pyoderma Gangrenosum Surgery Pseudomonas Infections Surgery Questionnaires Infant: 1-23 months Female ab: Rationale: Ecthyma gangrenosum (EG) is an aggressive cutaneous disease caused by local or systemic infection with Pseudomonas aeruginosa. EG is characterized by cutaneous manifestations ranging from nodule and papule, to necrotic ulceration with surrounding erythema, especially with black eschar or central crust. EG presents with characteristic skin lesions which is important to establish diagnosis of sepsis caused by P aeruginosa, a serious condition that can be treated efficiently if diagnosed early.Patient Concerns: A 3-month-old female infant was presented with characteristic skin lesions of EG and developed sepsis 3 days later.Diagnoses: Ecthyma gangrenosum and sepsis caused by Pseudomonas aeruginosa.Interventions: Meropenem was used in combination with ceftazidime at first and excision of necrotic skin lesions was performed later.Outcomes: Cure.Lessons: Early recognition of EG plays an important role in providing appropriate empiric antibiotic treatment at early stage of sepsis, and improves the prognosis. Surgical excision may be helpful if no improvement was achieved via antibiotic treatment. pubtype: Academic Journal doctype: case study Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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