Pseudomonas aeruginosa sepsis with ecthyma gangrenosum and pseudomembranous pharyngolaryngitis in a 5-month-old boy.
Pseudomonas aeruginosa infection that induced pseudomembranous laryngopharyngitis and ecthyma gangrenosum simultaneously in a healthy infant is rare. We reported on a previously healthy 5-month-old boy with initial presentation of fever and diarrhea followed by stridor and progressive respiratory distress. P. aeruginosa sepsis was suspected because ecthyma gangrenosum over the right leg was found at the emergency department, and the diagnosis was confirmed by the blood culture. Fiberscope revealed bacterial pharyngolaryngitis without involvement of the trachea. Because of early recognition and adequate treatment, including antimicrobial therapy, noninvasive ventilation, incision, and drainage, he recovered completely without any complications.
Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan.
Li-Ching
LC
Fang
Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan. Electronic address: pengcc4566@gmail.com.
Chun-Chih
CC
Peng
Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan.
Hsin
H
Chi
Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan.
Kuo-Sheng
KS
Lee
Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan.
Nan-Chang
NC
Chiu
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004322:Drainage; D004473:Ecthyma / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D006801:Humans; D007013:Hypopharynx / Q000473:pathology; D007223:Infant; D007827:Laryngitis / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D008297:Male; D010612:Pharyngitis / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D011552:Pseudomonas Infections / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology / Q000628:therapy; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification*; D018805:Sepsis / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents