Shanghai Fever: A Fatal Form of Pseudomonas Aeruginosa Enteric Disease.
BACKGROUND
Outcome of pseudomonas enteric fever is unpredictable as multiple systemic lethal complications occur abruptly.


METHODS
A 9-month-old girl with multiple ileal perforations, leukocoria, ecthyma gangrenosum, hemiplegia and a perforated ulcer in the soft palate. Blood culture suggested Pseudomonas aeruginosa infection. Operative repair of multiple ileal perforations and multidisciplinary management was provided.


RESULTS
On 10th post-operative day, patient succumbed to multiple organ dysfunction syndrome.


CONCLUSIONS
Early detection and management of complications of P. aeruginosa enteric disease is important.
Department of Pediatric Surgery, Dr BC Roy, Post Graduate Institute of Pediatric Sciences (PGIPS); and *Department of Pathology, Institute of Postgraduate Medical Education and Research (IPGMR), Kolkata, West Bengal, India. Correspondence to: Dr Pankaj Halder, SarodaPalli, PanchanonTala, Baruipur, Kolkata 700 144, West Bengal, India. pankaj.cnmc@gmail.com.
Pankaj
P
Halder
Kartik Chandra
KC
Mandal
Madhumita
M
Mukhopadhyay
Bidyut
B
Debnath
D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis* / Q000601:surgery; D007223:Infant; D007416:Intestinal Perforation / Q000175:diagnosis* / Q000601:surgery; D009102:Multiple Organ Failure / Q000175:diagnosis; D011552:Pseudomonas Infections / Q000175:diagnosis* / Q000601:surgery; D011550:Pseudomonas aeruginosa; D018805:Sepsis / Q000175:diagnosis* / Q000601:surgery