title: Connubial ecthyma gangrenosum in a healthy couple: a consort counterpart of a "kissing ulcer".
abstract: Ecthyma gangrenosum is a relatively rare cutaneous infection generally thought to be linked to sepsis or bacteremia caused by Pseudomonas aeruginosa in severely ill or otherwise immunocompromised patients. Here we report on a healthy middle-aged couple with a typical ecthyma gangrenosum lesion on their thighs, obviously caused by spreading through intimate contact between two skin surfaces: a sort of "consort kissing ulcer." Although they declined to allow microbiological sampling, the lesions gradually but completely regressed with oral ciprofloxacin treatment, leaving atrophic scars.
authors.affiliation: Parmova Dermatology Center, Ljubljana, Slovenia. Corresponding author: milos.pavlovic@dcp.si.
authors.forename: Miloš D
authors.initials: MD
authors.lastname: Pavlović
authors.affiliation: Parmova Dermatology Center, Ljubljana, Slovenia.
authors.forename: Metka
authors.initials: M
authors.lastname: Adamič
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D011552:Pseudomonas Infections / Q000209:etiology / Q000473:pathology*; D011550:Pseudomonas aeruginosa; D017192:Skin Diseases, Bacterial / Q000209:etiology* / Q000473:pathology*; D012883:Skin Ulcer / Q000382:microbiology* / Q000473:pathology*