title: Green staining of clothing: a signal for pseudomonal infection.
abstract: Anticonvulsant hypersensitivity syndrome (AHS) is a nondose-related idiosyncratic reaction to aromatic antiepileptic drugs and is a cause of drug discontinuation. Pseudomonas aeruginosa is a gram-negative bacillus that can produce infections in many different organs, including the skin and soft tissue. We report a patient with erythroderma and AHS who developed a pseudomonal infection. Green staining of the underwear served as a diagnostic clue for severe P aeruginosa infection that had developed because of a local flexural skin infection that spread due to a damaged skin barrier. Inspection of the patient's clothes may give information about any exudate from the skin and should be done routinely as part of the physical examination.
authors.affiliation: Department of Dermatology, Adnan Menderes University Faculty of Medicine, Atatürk St, Aydin, Turkey 09100. dreylemyilmaz@mynet.com
authors.forename: Eylem
authors.initials: E
authors.lastname: Yilmaz
authors.forename: Ekin
authors.initials: E
authors.lastname: Savk
authors.forename: Serkan
authors.initials: S
authors.lastname: Oncü
authors.forename: Güliz Uyar
authors.initials: GU
authors.lastname: Güleç
authors.forename: Bülent
authors.initials: B
authors.lastname: Ertuğrul
authors.forename: Serhan
authors.initials: S
authors.lastname: Sakarya
authors.forename: Meltem
authors.initials: M
authors.lastname: Uslu
authors.forename: Göksun
authors.initials: G
authors.lastname: Karaman
authors.forename: Neslihan
authors.initials: N
authors.lastname: Sendur
mesh_terms: D000328:Adult; D000927:Anticonvulsants / Q000009:adverse effects; D003873:Dermatitis, Exfoliative / Q000175:diagnosis* / Q000382:microbiology; D003875:Drug Eruptions / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D005122:Exudates and Transudates / Q000382:microbiology; D005260:Female; D006801:Humans; D011552:Pseudomonas Infections / Q000175:diagnosis* / Q000382:microbiology; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification*; D012720:Severity of Illness Index
chemical_list: D000927:Anticonvulsants