title: Ecthyma gangrenosum of the scrotum: a case report.
abstract: A 43-year-old man with pancytopenia from chemotherapy for acute myeloid leukemia developed left scrotal pain, fever, and rigors. Physical exam revealed an ulcerating lesion with central necrosis and eschar surrounded by a halo of erythema on the inferior aspect of the left scrotum. The condition indicated an early necrotizing soft tissue infection. The patient was started on broad-spectrum antibiotics and taken to the operating room for a wound debridement. Blood and tissue cultures grew Pseudomonas aeruginosa, which confirmed the diagnosis of ecthyma gangrenosum of the scrotum. The fever resolved, and the wound healed without further progression after wet to dry dressing changes.
authors.affiliation: Department of Urology, Rush University Medical Center, Chicago, IL, 60612, USA. tanweiphin@yahoo.com.
authors.forename: Wei Phin
authors.initials: WP
authors.lastname: Tan
authors.affiliation: Department of Urology, Rush University Medical Center, Chicago, IL, 60612, USA.
authors.forename: Benjamin A
authors.initials: BA
authors.lastname: Sherer
authors.affiliation: Department of Urology, Rush University Medical Center, Chicago, IL, 60612, USA.
authors.forename: Jerome
authors.initials: J
authors.lastname: Hoeksema
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000970:Antineoplastic Agents / Q000009:adverse effects / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003646:Debridement; D004473:Ecthyma / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D005734:Gangrene / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D006801:Humans; D015470:Leukemia, Myeloid, Acute / Q000150:complications / Q000188:drug therapy; D008297:Male; D012611:Scrotum
chemical_list: D000900:Anti-Bacterial Agents; D000970:Antineoplastic Agents
keywords: ecthyma gangrenosum; genitalia; scrotum