ECTHYMA GANGRENOSUM AND SEPTIC SHOCK CAUSED BY PSEUDOMONAS AERUGINOSA IN A CYTOTOXIC NEUTROPENIC PATIENT

• Main Authors: I. A. Kurmukov, Sh. R. Kashiya, O. A. Obukhova, N. V. Dmitrieva
• Format: Article
• Language: Russian
• Published: Journal Infectology 2017-10-01
• Series: Žurnal Infektologii
• Subjects: ecthyma gangrenosum; pseudomonas aeruginosa; sepsis; chemotherapy; chemotherapy-association complications; febrile neutropenia
• Online Access: https://journal.niidi.ru/jofin/article/view/643

Pseudomonas aeruginosa is an extremely dangerous cause of sepsis in patients with antitumor chemotherapyassociated neutropenia. Sometimes, the source of infection may be localized lesions of the skin (e.g. folliculitis) or its derivatives, which are not of particular concern in the absence of neutropenia. The appearance of Ecthyma gangrenosum in a patient with neutropenia, even in the absence of any signs or symptoms of sepsis, requires emergency care and the appointment of antibiotics with high antipseudomonal activity. We are report the case of the complications of chemotherapy with the sequential development of Ecthyma gangrenosum and Pseudomonas aeruginosa septicemia in a patient with concomitant skin infection (folliculitis).