Anais Brasileiros de Dermatologia (Oct 2017)

Ecthyma gangrenosum: a report of eight cases

  • César Adrián Martínez-Longoria,
  • Gloria María Rosales-Solis,
  • Jorge Ocampo-Garza,
  • Guillermo Antonio Guerrero-González,
  • Jorge Ocampo-Candiani

DOI
https://doi.org/10.1590/abd1806-4841.20175580
Journal volume & issue
Vol. 92, no. 5
pp. 698 – 700

Abstract

Read online Read online

Abstract: Ecthyma gangrenosum is a rare skin infection classically associated with Pseudomonas aeruginosa. We performed a retrospective study of all cases diagnosed with ecthyma gangrenosum from 2004-2010 in a university hospital in Mexico (8 cases, 5 female patients and 3 male patients, ages between 4 months and 2 years). The most common risk factor for ecthyma gangrenosum is neutropenia in immunocompromised patients. In previously healthy patients, immunological evaluation is important to rule out underlying immunodeficiency. Ecthyma gangrenosum in healthy patients has a high mortality rate and early diagnosis and aggressive antibiotic treatment is imperative as it can improve patients' prognosis.

Keywords