Ecthyma gangrenosum aggravated by systemic antibiotics: A case report and literature review
Journal Title: Nasza Dermatologia Online - Year 2018, Vol 9, Issue 1
Abstract
Ecthyma gangrenosum is a cutaneous manifestation of systemic infection caused predominantly by Pseudomonas aeruginosa. We report a case of ecthyma gangrenosum in a child caused by P. aeruginosa who had been previously unsuccessfully treated with systemic antibiotics. A four years old boy presented with the complaints of fever and ulcers on the trunk and extremities. He had been initiated on systemic antibiotics without sending or awaiting reports of blood and skin swab culture and sensitivity. The swab samples taken from the ulcers revealed growth of P. aeruginosa. He was then started on antipseudomonal intravenous antibiotics which eventually led to full recovery. Injudicious use of systemic antibiotics can lead to colonization and infection by opportunistic organisms such as P. aeruginosa. The use of antibiotics has to be based on reports of culture and sensitivity.
Authors and Affiliations
Bibush Amatya
Keywords
Related Articles
- EP ID EP280615
- DOI 10.7241/ourd.20181.8
- Views 72
- Downloads 0
Nevoid acanthosis nigricans: a rare case with late onset
Nevoid acanthosis nigricans is a rare variant usually presents as a localized hyperpigmented velvety plaque at birth or before puberty. However, unlike other variants, it is neither localized to the neck or flexures nor...
Poroqueratosis punctata: reporte de un caso y revisión de la literatur [Punctate porokeratosis: Case report and review of the literature]
We present the case of a 63-year-old woman with a one-year history of punctiform, hyperkeratotic lesions on the palms of both hands. The histologic examination showed the presence of a cornoid lamella and allowed the est...
A rare case of familial reactive perforating collagenosis
Reactive perforating collagenosis is a rare disorder of transepidermal elimination in which genetically altered collagen is extruded out through the epidermis. This disease usually starts as asymptomatic or pruritic umbi...
Manifestaciones mucocutáneas debidas a la infección por Mycoplasma pneumoniae. Reporte de 3 casos [Muco-cutaneous manifestations due to Mycoplasma pneumoniae infection: Report of 3 cases
Mycoplasma pneumoniae, one of the most frequent agents of community-acquired pneumonia worldwide, can affect different organs besides the lung, causing skin lesions in 25% of patients. The spectrum of dermatological feat...
Isotretinoin induced rash, urticaria, and angioedema: a case report
Isotretinoin is a vitamin A analogue, which is readily isomerized to tretinoin. It causes normalization of abnormal keratinisation. It also reduces sebum secretion. It also has anti-inflammatory as well as antibacteria...