title: Ecthyma gangrenosum-like lesions in a healthy child after infection treated with antibiotics.
abstract: Ecthyma gangrenosum is a cutaneous infection associated most commonly with pseudomonal sepsis in the immunocompromised patient. We describe a previously healthy 4-year-old boy who developed ecthyma gangrenosum-like lesions secondary to antibiotic treatment for possible streptococcal infection. The skin, ears, and extremities were involved. This presentation emphasizes the importance of awareness of the rare complication of ecthyma gangrenosum-like lesions associated with non-Pseudomonas bacterial infection treated with antibiotics, even in a previously healthy child.
authors.affiliation: Department of Pediatrics, Nara Medical University School of Medicine, Kashihara, Japan.
authors.forename: Tomoaki
authors.initials: T
authors.lastname: Ishikawa
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Sakurai
authors.forename: Maki
authors.initials: M
authors.lastname: Tanaka
authors.forename: Natsuko
authors.initials: N
authors.lastname: Daikoku
authors.forename: Takashi
authors.initials: T
authors.lastname: Ishihara
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Nakajima
authors.forename: Sachiko
authors.initials: S
authors.lastname: Miyagawa
authors.forename: Akira
authors.initials: A
authors.lastname: Yoshioka
mesh_terms: D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000009:adverse effects*; D002433:Cefaclor / Q000009:adverse effects*; D002675:Child, Preschool; D004473:Ecthyma / Q000209:etiology* / Q000382:microbiology; D006801:Humans; D008297:Male; D009336:Necrosis; D010612:Pharyngitis / Q000188:drug therapy / Q000382:microbiology; D012867:Skin / Q000473:pathology*; D013290:Streptococcal Infections / Q000150:complications* / Q000188:drug therapy
chemical_list: D000900:Anti-Bacterial Agents; D002433:Cefaclor