Acute myeloid leukaemia presenting with ecthyma gangrenosum as the first manifestation: A case report.
Rationale: Ecthyma gangrenosum (EG) is an uncommon cutaneous infection usually associated with Pseudomonas aeruginosa bacteremia in immunocompromised patients, particularly those with underlying malignant diseases. Despite its rarity, especially in immunocompetent or nondiagnosed immunodeficiency pa...
| Publicado en: | Medicine Vol. 100; no. 18; pp. 1 - 4 |
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| Autores principales: | , , , , , , , , , |
| Formato: | case study Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
5/7/2021
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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=150859327&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 150859327 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00257974 2S6 jtl: Medicine issn: 00257974 maglogo: N pubinfo: dt: 5/7/2021 vid: 100 iid: 18 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 150859327 150859327 NLM33951001 150859327 10.1097/MD.0000000000025867 NLM33951001 150859327 ppf: 1 ppct: 3 formats: tig: atl: Acute myeloid leukaemia presenting with ecthyma gangrenosum as the first manifestation: A case report. aug: au: Yoshiro Hadano Nao Yoshida-Sakai Yutaka Imamura Tomohiro Inoue Hitoshi Koga Hadano, Yoshiro Yoshida-Sakai, Nao Imamura, Yutaka Inoue, Tomohiro Koga, Hitoshi affil: Department of Infectious Diseases, St. Mary’s Hospital. sug: subj: Leukemia, Promyelocytic, Acute Diagnosis Pyoderma Gangrenosum Immunology Coinfection Immunology Skin Diseases, Infectious Immunology Pseudomonas Infections Immunology Pseudomonas Infections Diagnosis Drug Therapy, Combination Leukemia, Promyelocytic, Acute Complications Coinfection Microbiology Adult Pseudomonas Infections Microbiology Staphylococcus Aureus Immunocompromised Host Skin Microbiology Antibiotics Therapeutic Use Male Coinfection Diagnosis Pyoderma Gangrenosum Diagnosis Pyoderma Gangrenosum Drug Therapy Skin Diseases, Infectious Drug Therapy Staphylococcus Aureus Immunology Coinfection Drug Therapy Bone Marrow Pathology Leukemia, Promyelocytic, Acute Immunology Forearm Pyoderma Gangrenosum Microbiology Skin Diseases, Infectious Diagnosis Pseudomonas Immunology Skin Diseases, Infectious Microbiology Pseudomonas Infections Drug Therapy Treatment Outcomes Pseudomonas Adult: 19-44 years Male ab: Rationale: Ecthyma gangrenosum (EG) is an uncommon cutaneous infection usually associated with Pseudomonas aeruginosa bacteremia in immunocompromised patients, particularly those with underlying malignant diseases. Despite its rarity, especially in immunocompetent or nondiagnosed immunodeficiency patients, EG can present as the first manifestation of an underlying immunosuppression.Patient Concerns: A 42-year-old Japanese man was admitted to our hospital with a 3-day history of a painless red macule on his right forearm and fever.Diagnoses: Blood culture on admission revealed the presence of Pseudomonas aeruginosa, whereas pus culture of the skin lesion showed Pseudomonas aeruginosa and methicillin-susceptible Staphylococcus aureus positivity.Interventions: Additional bone marrow aspirate examination and immunophenotyping were performed to confirm the diagnosis of acute promyelocytic leukaemia with PML-retinoic acid alpha receptor.Outcomes: The patient was successfully treated with a 14-day course of antibiotics, and no evidence of relapse was noted. The patient achieved complete remission after treatment for acute promyelocytic leukaemia.Lessons: It should be kept in mind that EG is an important cutaneous infection that is typically associated with P aeruginosa bacteremia and the presence of underlying immunodeficiency, such as acute leukaemia. pubtype: Academic Journal doctype: case study Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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