title: Hemorrhagic bullae caused by Bacteroides fragilis in a patient with intra-abdominal infection.
abstract: Skin manifestations due to intra-abdominal infection are uncommon but could be a warning sign of severe infection. We report a 58-year-old uremic female who had acute cholecystitis and pneumatosis intestinalis. She developed periumbilical hemorrhagic bullae and finally had a fatal outcome with medical therapy. Severe intra-abdominal infection such as pneumatosis intestinalis should be suspected when periumbilical bullae increase in size.
authors.affiliation: Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
authors.forename: Hugo You-Hsien
authors.initials: HY
authors.lastname: Lin
authors.forename: Tun-Chieh
authors.initials: TC
authors.lastname: Chen
authors.forename: Yen-Hsu
authors.initials: YH
authors.lastname: Chen
authors.forename: Po-Liang
authors.initials: PL
authors.lastname: Lu
authors.forename: Wei-Ru
authors.initials: WR
authors.lastname: Lin
authors.forename: Yuan-Chieh
authors.initials: YC
authors.lastname: Yang
mesh_terms: D018784:Abdominal Abscess / Q000150:complications*; D001441:Bacteroides fragilis / Q000302:isolation & purification*; D001768:Blister / Q000209:etiology*; D005260:Female; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D008875:Middle Aged