title: [Ecthyma gangrenosum caused by Pseudomonas stutzeri with bacteraemia and systemic vascularitis].
abstract: BACKGROUND
  Ecthyma gangrenosum is a cutaneous manifestation of Pseudomonas infections. This condition may be associated with bacteraemia but can also occur in the absence of bacteraemia.
  
  
  METHODS
  The authors report the case of a 66-year-old woman presented with necrotic ulcerations on the face associated with fever, arthralgia, myalgia, fatigue and neutropenia. Blood cultures and skin cultures were positive for Pseudomonas stutzeri. Her condition improved under appropriate antibiotic therapy. However, the patient further developed clinical and biological symptoms of systemic vasculitis and mixed cryoglubulinemia. Complete healing was finally obtained after a course of corticosteroids.
  
  
  CONCLUSIONS
  Ecthyma gangrenosum should be suspected in people who have typical clinical presentation. This disease could sometimes be associated with systemic vasculitis.
authors.affiliation: Service de dermatologie I, CHU Saint-Jacques, 25030 Besançon, France. dermato1-med@chu-besancon.fr
authors.forename: E
authors.initials: E
authors.lastname: Puzenat
authors.forename: C
authors.initials: C
authors.lastname: Chirouze
authors.forename: N
authors.initials: N
authors.lastname: Khayat
authors.forename: F
authors.initials: F
authors.lastname: Aubin
authors.forename: J-M
authors.initials: JM
authors.lastname: Estavoyer
authors.forename: P
authors.initials: P
authors.lastname: Humbert
authors.forename: B
authors.initials: B
authors.lastname: Hoen
mesh_terms: D016470:Bacteremia / Q000150:complications*; D003937:Diagnosis, Differential; D004473:Ecthyma / Q000209:etiology* / Q000382:microbiology / Q000473:pathology; D005145:Face / Q000473:pathology; D005221:Fatigue; D005734:Gangrene / Q000209:etiology / Q000473:pathology; D006801:Humans; D009336:Necrosis; D009503:Neutropenia / Q000139:chemically induced; D011552:Pseudomonas Infections / Q000209:etiology* / Q000473:pathology*; D044223:Pseudomonas stutzeri / Q000472:pathogenicity*; D012871:Skin Diseases / Q000209:etiology* / Q000382:microbiology* / Q000473:pathology; D014657:Vasculitis / Q000150:complications* / Q000382:microbiology