Necrotizing bowel lesions complicated by Pseudomonas septicaemia in previously healthy infants.
Two previously healthy infants with Pseudomonas septicaemia presented with necrotizing bowel lesions. Necrotizing bowel lesions should be suspected when infants presenting with a history of diarrhoea, develop abdominal distension and toxic signs. Pseudomonas aeruginosa should be regarded as one of the important aetiologies in such disorders, especially if there is associated neutropenia and ecthyma gangrenosum-like lesions. Antibiotics must be able to cover this pathogen to avert a catastrophic outcome.


CONCLUSIONS
The intestine should be considered a possible site of involvement in Pseudomonas sepsis and special attention should be paid to examination of the abdomen.
Tsai
M J
MJ
Department of Paediatrics, National Taiwan University Hospital, Taipei, ROC.
Teng
C J
CJ
Teng
R J
RJ
Lee
P I
PI
Chang
M H
MH
D004761:Enterocolitis, Pseudomembranous / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007223:Infant; D007416:Intestinal Perforation / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D007422:Intestines / Q000473:pathology / Q000601:surgery; D011552:Pseudomonas Infections / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D012086:Reoperation; D018805:Sepsis / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery