Hairy cell leukemia presenting with Ecthyma Gangrenosum- a case report.
Background: Ecthyma gangrenosum is a cutaneous infectious usually associated with P. aeruginosa. It usually develops In patients with an underlying immunodeficiency.Case Presentation: A 50-year old mentally disabled white male with a history of epilepsy presented with fever and a painless red macule...
| Publicado en: | BMC Infectious Diseases Vol. 19; no. 1; pp. 1 - 5 |
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| Autores principales: | , , |
| Formato: | case study pictorial tables/charts Journal Article |
| Publicado: |
BioMed Central
1/25/2019
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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=134299310&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 134299310 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14712334 1CHU jtl: BMC Infectious Diseases issn: 14712334 maglogo: N pubinfo: dt: 1/25/2019 vid: 19 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 134299310 134299310 NLM30683071 134299310 10.1186/s12879-018-3644-1 NLM30683071 134299310 ppf: 1 ppct: 4 formats: tig: atl: Hairy cell leukemia presenting with Ecthyma Gangrenosum- a case report. aug: au: Sluga, R. Tersmette, M. Sohne, M. affil: Department of Internal Medicine, St Antonius Hospital, Nieuwegein/ Utrecht, Koekoekslaan 1, 3435, Nieuwegein, CM, The Netherlands sug: subj: Pyoderma Diagnosis Leukemia Diagnosis Pseudomonas Infections Diagnosis Pseudomonas Pyoderma Microbiology Antibiotics Therapeutic Use Male Pseudomonas Infections Drug Therapy Fever Drug Therapy Middle Age Middle Aged: 45-64 years Male ab: Background: Ecthyma gangrenosum is a cutaneous infectious usually associated with P. aeruginosa. It usually develops In patients with an underlying immunodeficiency.Case Presentation: A 50-year old mentally disabled white male with a history of epilepsy presented with fever and a painless red macule on his right arm which rapidly progressed to a painful ulcer. Blood and lesion cultures revealed P.aeruginosa, confirming our clinical diagnosis of ecthyma gangrenosum. Subsequently an underlying immune deficit was found, namely patient was diagnosed with hairy-cell leukemia. Despite adequate antibiotics no infection control could be achieved. After treating the underlying immune deficit as well, the infection and hairy-cell leukemia resolved completely.Conclusion: Ecthyma gangrenosum is an important cutaneous infection to recognize, because it is it is typically associated with P.aeruginosa bacteremia. Recognizing this skin leasion should prompt empiric antimicrobial therapy including an agent with antipseudomonal activity. Furthermore, just like in our case, the presence of ecthyma gangrenosum can signal the presence of an occult immune deficit, warranting further investigation. pubtype: Academic Journal doctype: case study pictorial tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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