title: Ecthyma gangrenosum secondary to Staphylococcus aureus in an infant with transient neutropenia.
abstract: Ecthyma gangrenosum is classically a cutaneous manifestation of a pseudomonal septicemia that presents in a patient with an immunodeficiency or hematologic malignancy. We describe a previously healthy 8-month-old girl who developed transient neutropenia and characteristic ecthyma gangrenosum lesions secondary to methicillin-resistant Staphylococcus aureus. This unique presentation of methicillin-resistant Staphylococcus aureus ecthyma gangrenosum emphasizes the importance of broad empiric coverage and early culturing for microorganism and susceptibilities in any patient presenting with ecthyma gangrenosum.
authors.affiliation: Department of Dermatology and Cutaneous Surgery, Miller School of Medicine, University of Miami, Miami, Florida 33136, USA. pmpechter@med.miami.edu
authors.forename: Patricia M
authors.initials: PM
authors.lastname: Pechter
authors.forename: Robb
authors.initials: R
authors.lastname: Marchione
authors.forename: Clara
authors.initials: C
authors.lastname: Milikowski
authors.forename: Brian
authors.initials: B
authors.lastname: Berman
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004473:Ecthyma / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology*; D005260:Female; D006801:Humans; D007223:Infant; D055624:Methicillin-Resistant Staphylococcus aureus / Q000187:drug effects / Q000302:isolation & purification*; D009503:Neutropenia / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D017511:Pyoderma Gangrenosum / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology*; D012640:Seizures / Q000188:drug therapy / Q000209:etiology / Q000473:pathology; D013203:Staphylococcal Infections / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D016896:Treatment Outcome; D014640:Vancomycin / Q000627:therapeutic use
chemical_list: D000900:Anti-Bacterial Agents; D014640:Vancomycin