Clinical Image

Typical Clinical Image of Ecthyma Gangrenosum

Selami Aykut Temiz*
Department of Skin and Venereal Diseases, Necmettin Erbakan University, Turkey


*Corresponding author: Selami Aykut Temiz, Department of Skin and Venereal Diseases, Necmettin Erbakan University, Turkey


Published: 26 Feb, 2018
Cite this article as: Temiz SA. Typical Clinical Image of Ecthyma Gangrenosum. Clin Case Rep Int. 2018; 2: 1040.

Clinical Image

Ecthyma gangrenosum is a skin lesion generally associated with Pseudomonas aeruginosa, and is generally seen in immune compromised patients. Ecthyma gangrenosum is a rare cutaneous vascülitis, it is thought to be through bacterial hematogenous spread. A 8-month-old male infant was admitted to our Pediatric Emergency Unit, with a 3-day history of fever and widespread skin lesions. Dermatological examination revealed well-defined necrotic ulcers with erythematous halo around the sacral area in both gluteal areas (Figure 1,2). Laboratory findings were notable for bicytopenia (hgb: 3,54g/dl plt: 90,5u/L). No additional features were detected in immunological screening, bone marrow biopsy. Pseudomonas aeruginosa grew in wound and blood culture. Based on the clinical and laboratory inputs (culture), a diagnosis of ecthyma gangrenosum associated with P.aeruginosa was made. The pediatrician refused our skin biopsy offer. The patient was successfully treated with combined antibacterial therapy. We wanted to draw attention to the typical clinical appearance of ecthyma gangrenosum.


Figure 1

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Figure 1

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Figure 2