Nonpseudomonal ecthyma gangrenosum.
Ecthyma gangrenosum is a cutaneous infection associated most commonly with pseudomonal sepsis in the patient who is immunocompromised. We describe an 8-month-old girl with acute myelocytic leukemia who developed perineal ecthyma gangrenosum caused by Citrobacter freundii, a gram-negative pathogen that has been rarely associated with cutaneous disease. We also review the literature to categorize the range of pseudomonal and nonpseudomonal pathogens associated with ecthyma gangrenosum.
Reich
Hilary L
HL
Department of Dermatology, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA.
Williams Fadeyi
Darice
D
Naik
Narayan S
NS
Honig
Paul J
PJ
Yan
Albert C
AC
D001706:Biopsy; D016971:Citrobacter freundii / Q000276:immunology* / Q000302:isolation & purification; D004473:Ecthyma / Q000453:epidemiology / Q000276:immunology / Q000382:microbiology*; D004756:Enterobacteriaceae Infections / Q000175:diagnosis / Q000453:epidemiology / Q000276:immunology*; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D007223:Infant; D015470:Leukemia, Myeloid, Acute / Q000276:immunology*; D012867:Skin / Q000473:pathology