scholarly journals Ecthyma gangrenosum mimicking cellulitis

2021 ◽  
Author(s):  
Toru Ishihara ◽  
Hideki Ozawa
Keyword(s):  
Ecthyma Gangrenosum

A Case of Ecthyma Gangrenosum due to Pseudomonas aeruginosa in a Healthy Infant

2010 ◽  
Vol 72 (2) ◽  
pp. 111-115
Author(s):  
Hiroyuki KAYO ◽  
Yutaka ASATO ◽  
Kiyohito TAIRA ◽  
Yu-ichi YAMAMOTO ◽  
Yuko HANNITA ◽  
...  
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Healthy Infant ◽  
Ecthyma Gangrenosum

Minocycline-Induced Agranulocytosis Presenting as Ecthyma Gangrenosum

2017 ◽  
Vol 1 (3) ◽  
pp. 161-164 ◽  
Author(s):  
Katherine Nolan ◽  
Reema Ishteiwy ◽  
John Alexis ◽  
Martin Zaiac ◽  
Anna Nichols
Keyword(s):  
Care Facility ◽  
Urgent Care ◽  
Severe Neutropenia ◽  
Dramatic Improvement ◽  
Therapy Discontinuation ◽  
Incision And Drainage ◽  
Ecthyma Gangrenosum ◽  
Minimal Improvement ◽  
History Of ◽  
Acute And Chronic Inflammation

A 51-year-old female with a history of rheumatoid arthritis was admitted for progressive fevers, chills and malaise. Five weeks prior, she started minocycline for an RA exacerbation. Two weeks after starting minocycline she developed an abscess on her right ankle that was treated at an urgent care facility with ceftriaxone and trimethoprim-sulfamethoxazole. She had minimal improvement so was switched to clindamycin. She developed additional abscesses on her right ankle and right axilla and spiking fevers so she was treated with incision and drainage under general anesthesia. Routine blood work obtained prior to surgery revealed severe neutropenia (0.74 103/ul) and the patient was urgently referred to the emergency department.  Skin biopsy was obtained on admission and revealed ulceration, necrosis, acute and chronic inflammation, vasculitis with vascular thrombosis and rod-shaped bacteria in blood vessel walls and lumina consistent with ecthyma gangrenosum. The following day tissue and blood cultures confirmed the growth of Pseudomonas aureginosa. Bone-marrow biopsy showed decreased granulopoiesis and hematopoiesis, and a diagnosis of minocycline-induced agranulocytosis presenting as ecthyma gangrenosum was made.  The patient had dramatic improvement with appropriate antibiotic therapy, discontinuation of minocycline and initiation of filgrastrim. She has remained healthy without recurrence for 17 months.    

Disseminated fusariosis presenting as ecthyma gangrenosum

2021 ◽  
pp. postgradmedj-2020-139689
Author(s):  
Naser Shareef ◽  
Misbahuddin Syed
Keyword(s):  
Ecthyma Gangrenosum

scholarly journals An Eschar-like souvenir from a journey to Colombia: Ecthyma gangrenosum as a differential diagnosis of tropical diseases in immunocompromised patients – a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Gabriela M. Wiedemann ◽  
Jochen Schneider ◽  
Mareike Verbeek ◽  
Björn Konukiewitz ◽  
Christoph D. Spinner ◽  
...  
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Differential Diagnosis ◽  
Antibiotic Treatment ◽  
Partial Remission ◽  
Combined Treatment ◽  
Lymphocytic Leukemia ◽  
Entire Body ◽  
Tropical Diseases ◽  
Ecthyma Gangrenosum ◽  
Skin Ulcers

Abstract Background Ecthyma gangrenosum (EG) is a cutaneous infectious disease characterized by eschar-like skin ulcers typically caused by Pseudomonas aeruginosa. Here, we report a case of relapsing EG in a patient who had returned from a trip to Colombia, thus establishing EG as an important differential diagnosis of tropical diseases, and demonstrating that even long-term antibiotic treatment can result in only partial remission of EG. Case presentation A 77-year-old man with underlying chronic lymphocytic leukemia (CLL) on ibrutinib treatment was admitted because of a superinfected mosquito bite on the left ear and multiple partially necrotic skin lesions disseminated all over the entire body five days after returning from a trip to Colombia. The initial clinical suspicion of a tropical disease (leishmaniosis, systemic mycosis, or others) could not be confirmed. During the diagnostic workup, microbiological cultures of the skin biopsies and bronchoalveolar lavage revealed Pseudomonas aeruginosa, leading to a diagnosis of EG. Initial antibiotic treatment resulted in partial remission. However, the patient had to be re-admitted due to a relapse 3–4 weeks after the first episode. Finally, the patient was successfully treated with a combined approach consisting of antibiotics, recurrent surgical incisions, and administration of immunoglobulins. Conclusions In conclusion, EG should be considered as a differential diagnosis in immunosuppressed patients presenting with eschar-like skin ulcers. A combined treatment approach seems to be the best choice to achieve clinical cure and avoid relapse.

Solitary ecthyma gangrenosum (EG) — like lesion consequent to Candida albicans in a neonate

2007 ◽  
Vol 74 (6) ◽  
pp. 582-584 ◽  
Author(s):  
Shilpi Agarwal ◽  
Meenal Sharma ◽  
Vibhu Mehndirata
Keyword(s):  
Candida Albicans ◽  
Ecthyma Gangrenosum

Colostomy for Perianal Sepsis With Ecthyma Gangrenosum in Immunocompromised Children

2016 ◽  
Vol 38 (1) ◽  
pp. 53-57 ◽  
Author(s):  
Raphael N. Vuille-dit-Bille ◽  
Christoph Berger ◽  
Martin Meuli ◽  
Michael A. Grotzer
Keyword(s):  
Ecthyma Gangrenosum ◽  
Perianal Sepsis
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