Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Ecthyma gangrenosum without bacteremia in a previously healthy man: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Ecthyma gangrenosum without bacteremia in a previously healthy man a case report Serap Genẹer 1 Serdar Ozer1 Aylin Ege Gul2 Mustafa Dogan1 and Oznur Ak1 Address Department of Infectious Diseases and Clinical Microbiology Kartal Dr. Lutfi Kirdar Training and Research Hospital Istanbul Turkey and 2Department of Pathology Kartal Dr. Lutfi Kirdar Training and Research Hospital Istanbul Turkey Email Serap Genẹer - segencer@ Serdar Ozer - ozerserdar@ Aylin Ege Gul - segencer@ Mustafa Dogan - drmustafa395@ Oznur Ak - akoznur@ Corresponding author Published 22 January 2008 Received 20 August 2007 Journal of Medical Case Reports 2008 2 14 doi 1752-1947-2-14 Accepted 22 January 2008 This article is available from http content 2 1 14 2008 Genẹer et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Ecthyma gangrenosum is known as a characteristic lesion of Pseudomonas aeruginosa sepsis and is usually seen in immunocompromised patients. Case presentation A previously healthy 63-year-old man was admitted with sloughy necrotic ulcerations of the skin over his sternum. He was afebrile and in good condition. A skin biopsy revealed ecthyma gangrenosum. Blood cultures remained sterile but a culture of biopsy material grew Pseudomonas aeruginosa. Conclusion Ecthyma gangrenosum may develop even in the absence of bacteremia and even in immunocompetent patients. It should be considered as a possible diagnosis even when a previously healthy patient has negative blood cultures. Introduction Ecthyma gangrenosum is a characteristic necrotic and bullous skin lesion known to be caused
