title: Ecthyma gangrenosum in a previously healthy pediatric patient and associated facial paralysis and persistent hyperplastic primary vitreous.
abstract: BACKGROUND
  Ecthyma gangrenosum is an infective lesion of the skin and mucosal membranes. It is most commonly caused by Pseudomonas aeruginosa, and the most important risk factors are malignancy and neutropenia. However, it has rarely been reported in children who were previously healthy. Persistent hyperplastic primary vitreous has been described as the persistence of the fetal hyaloid vascular system. Acute otitis media with facial paralysis is an infrequent association.
  
  
  METHODS
  We report the case of a 5-month-old boy hospitalized because of fever, otorrhea and necrosis on his body. He had peripheral facial paralysis on the same side as otorrhea. Leukocoria was determined in the right eye. He had many gangrenous ulcers on the extremities and body.
  
  
  CONCLUSIONS
  We present a previously healthy pediatric patient diagnosed with persistent hyperplastic primary vitreous, ecthyma gangrenosum (by the septicemia of P. aeruginosa), and peripheric facial paralysis (a complication of acute otitis media), admitted to hospital.
authors.affiliation: Department of Pediatrics, Faculty of Medicine, Adýyaman University, Adýyaman, Turkey.
authors.forename: Ibrahim Hakan
authors.initials: IH
authors.lastname: Bucak
authors.forename: Gökhan
authors.initials: G
authors.lastname: Tümgör
authors.forename: Eda
authors.initials: E
authors.lastname: Mengen
authors.forename: Fatih
authors.initials: F
authors.lastname: Temiz
authors.forename: Mehmet
authors.initials: M
authors.lastname: Turgut
keywords: children; ecthyma gangrenosum; facial paralysis; persistent hyperplastic primary vitreous; pseudomonas septicemia