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 CASE REPORTS
Year : 2005  |  Volume : 23  |  Issue : 4  |  Page : 262-263

Ecthyma gangrenosum: A rare cutaneous manifestation caused by pseudomonas aeruginosa without bacteraemia in a leukaemic patient- A case report


Department of Microbiology, Regional Institute of Medical Sciences(RIMS), Imphal-795 004, Manipur, India

Correspondence Address:
T N Singh
Department of Microbiology, Regional Institute of Medical Sciences(RIMS), Imphal-795 004, Manipur
India
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Source of Support: None, Conflict of Interest: None


PMID: 16327125

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Ecthyma gangrenosum is a rare and invasive cutaneous infection caused by Pseudomonas aeruginosa in the majority of cases, typically affecting immunocompromised patients, particularly those with neutropenia. We report a rare case of ecthyma gangrenosum in the absence of bacteraemia presenting as a solitary necrotic ulcer in a female patient with acute lymphoblastic leukaemia. A culture from the ecthyma lesion revealed the presence of Pesudomonas aeruginosa , but the results of repeated blood cultures were negative. The patient responded well to amikacin to which the isolate was susceptible in vitro . Considering high rate of mortality, early diagnosis and prompt effective treatment is mandatory.






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2004 - Indian Journal of Medical Microbiology
Published by Wolters Kluwer - Medknow

Online since April 2001, new site since 1st August '04