Guess what! Pseudomonas aeruginosa sepsis.
A 62-year-old woman affected by end-stage renal disease secondary to Waldenstrom's disease was admitted to place a central venous catheter for hemodialysis purposes. During the admission, she gradually developed a number of necrotic ulcerative and fluctuant nodular skin lesions on the submammary flexures, groins and limbs accompanied by high fever and chills. Yellow-green purulent material could be drained from the site of introduction of the jugular catheter. Skin biopsies were taken from the edge of an inguinal necrotic-ulcerative lesion and from a fluctuant nodular lesion of the thigh, where pus was drained and cultured.
Bugatti
Leonardo
L
Department of Dermatology A. Murri Hospital via dei Colli, 52, 60035 Jesi (AN), Italy. dermjesi@yahoo.it
Nicolini
Massimiliano
M
Filosa
Alessandra
A
Filosa
Giorgio
G
D005260:Female; D006801:Humans; D008875:Middle Aged; D011552:Pseudomonas Infections / Q000473:pathology*; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification; D018805:Sepsis / Q000473:pathology*; D012883:Skin Ulcer / Q000473:pathology