Ecthyma gangrenosum aggravated by systemic antibiotics: A case report and literature review
Ecthyma gangrenosum is a cutaneous manifestation of systemic infection caused predominantly by Pseudomonas aeruginosa. We report a case of ecthyma gangrenosum in a child caused by P. aeruginosa who had been previously unsuccessfully treated with systemic antibiotics. A four years old boy presented w...
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doaj-72e4b9672b9c412ba7b413f687b1967b2020-11-25T00:34:29ZengOur Dermatology OnlineNasza Dermatologia Online2081-93902018-02-0191273010.7241/ourd.20181.8 Ecthyma gangrenosum aggravated by systemic antibiotics: A case report and literature reviewBibush Amatya0 Rishabh Dev Tripathee1Rashmi Sharma2 Leison Maharjan3Resident, Dermatology, Institute of Medicine, Tribhuvan University Teaching Hospital, Kathmandu, NepalResident, Dermatology, Institute of Medicine, Tribhuvan University Teaching Hospital, Kathmandu, NepalResident, Dermatology, Institute of Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal2Resident, Otorhinolaryngology, Institute of Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal Ecthyma gangrenosum is a cutaneous manifestation of systemic infection caused predominantly by Pseudomonas aeruginosa. We report a case of ecthyma gangrenosum in a child caused by P. aeruginosa who had been previously unsuccessfully treated with systemic antibiotics. A four years old boy presented with the complaints of fever and ulcers on the trunk and extremities. He had been initiated on systemic antibiotics without sending or awaiting reports of blood and skin swab culture and sensitivity. The swab samples taken from the ulcers revealed growth of P. aeruginosa. He was then started on antipseudomonal intravenous antibiotics which eventually led to full recovery. Injudicious use of systemic antibiotics can lead to colonization and infection by opportunistic organisms such as P. aeruginosa. The use of antibiotics has to be based on reports of culture and sensitivity.http://www.odermatol.com/issue-in-html/2018-1-8-ecthyma/Ecthyma Gangrenosum; Vancomycin; Superinfection |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Bibush Amatya Rishabh Dev Tripathee Rashmi Sharma Leison Maharjan |
spellingShingle |
Bibush Amatya Rishabh Dev Tripathee Rashmi Sharma Leison Maharjan Ecthyma gangrenosum aggravated by systemic antibiotics: A case report and literature review Nasza Dermatologia Online Ecthyma Gangrenosum; Vancomycin; Superinfection |
author_facet |
Bibush Amatya Rishabh Dev Tripathee Rashmi Sharma Leison Maharjan |
author_sort |
Bibush Amatya |
title |
Ecthyma gangrenosum aggravated by systemic antibiotics: A case report and literature review |
title_short |
Ecthyma gangrenosum aggravated by systemic antibiotics: A case report and literature review |
title_full |
Ecthyma gangrenosum aggravated by systemic antibiotics: A case report and literature review |
title_fullStr |
Ecthyma gangrenosum aggravated by systemic antibiotics: A case report and literature review |
title_full_unstemmed |
Ecthyma gangrenosum aggravated by systemic antibiotics: A case report and literature review |
title_sort |
ecthyma gangrenosum aggravated by systemic antibiotics: a case report and literature review |
publisher |
Our Dermatology Online |
series |
Nasza Dermatologia Online |
issn |
2081-9390 |
publishDate |
2018-02-01 |
description |
Ecthyma gangrenosum is a cutaneous manifestation of systemic infection caused predominantly by Pseudomonas aeruginosa. We report a case of ecthyma gangrenosum in a child caused by P. aeruginosa who had been previously unsuccessfully treated with systemic antibiotics. A four years old boy presented with the complaints of fever and ulcers on the trunk and extremities. He had been initiated on systemic antibiotics without sending or awaiting reports of blood and skin swab culture and sensitivity. The swab samples taken from the ulcers revealed growth of P. aeruginosa. He was then started on antipseudomonal intravenous antibiotics which eventually led to full recovery. Injudicious use of systemic antibiotics can lead to colonization and infection by opportunistic organisms such as P. aeruginosa. The use of antibiotics has to be based on reports of culture and sensitivity. |
topic |
Ecthyma Gangrenosum; Vancomycin; Superinfection |
url |
http://www.odermatol.com/issue-in-html/2018-1-8-ecthyma/ |
work_keys_str_mv |
AT bibushamatya ecthymagangrenosumaggravatedbysystemicantibioticsacasereportandliteraturereview AT rishabhdevtripathee ecthymagangrenosumaggravatedbysystemicantibioticsacasereportandliteraturereview AT rashmisharma ecthymagangrenosumaggravatedbysystemicantibioticsacasereportandliteraturereview AT leisonmaharjan ecthymagangrenosumaggravatedbysystemicantibioticsacasereportandliteraturereview |
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1725313123298050048 |