title: [Ecthyma gangrenosum and Pseudomonas aeruginosa septicemia in intensive care unit].
abstract: We report a case of a Pseudomonas aeruginosa septicemia complicated by a septic shock after chemotherapy for pulmonary cancer. Bilateral legs necrotic purpura corresponding to echtyma gangrenosum lesions (erythematous inflammatory halo, positive bacteriologic cutaneous biopsy) was noted 48 h previous to the shock. Echtyma gangrenosum manifestation should alert physician to P. aeruginosa septicemia risk and can be useful to guide probabilist antibiotherapy.
authors.affiliation: Service de réanimation médicale assistance respiratoire, hôpital Gui-de-Chauliac, CHU de Montpellier, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France. patrice.befort@gmail.com
authors.forename: P
authors.initials: P
authors.lastname: Befort
authors.forename: P
authors.initials: P
authors.lastname: Corne
authors.forename: B
authors.initials: B
authors.lastname: Riviere
authors.forename: A
authors.initials: A
authors.lastname: Bourdin
authors.forename: O
authors.initials: O
authors.lastname: Jonquet
mesh_terms: D000230:Adenocarcinoma / Q000150:complications / Q000188:drug therapy; D000970:Antineoplastic Agents / Q000009:adverse effects; D001932:Brain Neoplasms / Q000556:secondary; D003422:Critical Care; D005734:Gangrene / Q000150:complications* / Q000382:microbiology; D006801:Humans; D007362:Intensive Care Units; D008175:Lung Neoplasms / Q000150:complications / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D009503:Neutropenia / Q000139:chemically induced / Q000150:complications; D011552:Pseudomonas Infections / Q000150:complications* / Q000382:microbiology; D018805:Sepsis / Q000150:complications* / Q000382:microbiology; D012772:Shock, Septic / Q000150:complications / Q000382:microbiology; D012867:Skin / Q000382:microbiology
chemical_list: D000970:Antineoplastic Agents