Ecthyma gangrenosum in the periorbital region in a previously healthy immunocompetent woman without bacteremia

Ecthyma gangrenosum (EG) is a cutaneous lesion classically associated with potentially fatal Pseudomonas septicemia in immunocompromised patients. Other bacterial and fungal pathogens have also been implicated. Although EG typically occurs in immunocompromised or neutropenic patients, it may occasio...

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Main Authors: Somenath Sarkar, Arnab Kumar Patra, Madhumita Mondal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Indian Dermatology Online Journal
Subjects:
Online Access:http://www.idoj.in/article.asp?issn=2229-5178;year=2016;volume=7;issue=1;spage=36;epage=39;aulast=Sarkar
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author Somenath Sarkar
Arnab Kumar Patra
Madhumita Mondal
author_facet Somenath Sarkar
Arnab Kumar Patra
Madhumita Mondal
author_sort Somenath Sarkar
collection DOAJ
description Ecthyma gangrenosum (EG) is a cutaneous lesion classically associated with potentially fatal Pseudomonas septicemia in immunocompromised patients. Other bacterial and fungal pathogens have also been implicated. Although EG typically occurs in immunocompromised or neutropenic patients, it may occasionally affect a previously healthy person. The cutaneous findings are characteristic with small indurated papulovesicles progressing rapidly to necrotic ulcers with surrounding erythema and a central black Eschar. While lesions can occur at any site, most are commonly found over the buttocks, perineum, limbs, and axillae. We describe a case of EG in periorbital region in a previously healthy woman who responded to appropriate antibiotic treatment for Pseudomonas. It is very important to establish the diagnosis early so that appropriate systemic antibiotic therapy can be initiated to reduce morbidity and potential mortality.
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spelling doaj.art-5258f9d8023a47b683136b876d7cd36c2022-12-22T03:08:59ZengWolters Kluwer Medknow PublicationsIndian Dermatology Online Journal2229-51782016-01-0171363910.4103/2229-5178.174326Ecthyma gangrenosum in the periorbital region in a previously healthy immunocompetent woman without bacteremiaSomenath SarkarArnab Kumar PatraMadhumita MondalEcthyma gangrenosum (EG) is a cutaneous lesion classically associated with potentially fatal Pseudomonas septicemia in immunocompromised patients. Other bacterial and fungal pathogens have also been implicated. Although EG typically occurs in immunocompromised or neutropenic patients, it may occasionally affect a previously healthy person. The cutaneous findings are characteristic with small indurated papulovesicles progressing rapidly to necrotic ulcers with surrounding erythema and a central black Eschar. While lesions can occur at any site, most are commonly found over the buttocks, perineum, limbs, and axillae. We describe a case of EG in periorbital region in a previously healthy woman who responded to appropriate antibiotic treatment for Pseudomonas. It is very important to establish the diagnosis early so that appropriate systemic antibiotic therapy can be initiated to reduce morbidity and potential mortality.http://www.idoj.in/article.asp?issn=2229-5178;year=2016;volume=7;issue=1;spage=36;epage=39;aulast=SarkarEcthyma gangrenosumimmunocompetentperiorbital
spellingShingle Somenath Sarkar
Arnab Kumar Patra
Madhumita Mondal
Ecthyma gangrenosum in the periorbital region in a previously healthy immunocompetent woman without bacteremia
Indian Dermatology Online Journal
Ecthyma gangrenosum
immunocompetent
periorbital
title Ecthyma gangrenosum in the periorbital region in a previously healthy immunocompetent woman without bacteremia
title_full Ecthyma gangrenosum in the periorbital region in a previously healthy immunocompetent woman without bacteremia
title_fullStr Ecthyma gangrenosum in the periorbital region in a previously healthy immunocompetent woman without bacteremia
title_full_unstemmed Ecthyma gangrenosum in the periorbital region in a previously healthy immunocompetent woman without bacteremia
title_short Ecthyma gangrenosum in the periorbital region in a previously healthy immunocompetent woman without bacteremia
title_sort ecthyma gangrenosum in the periorbital region in a previously healthy immunocompetent woman without bacteremia
topic Ecthyma gangrenosum
immunocompetent
periorbital
url http://www.idoj.in/article.asp?issn=2229-5178;year=2016;volume=7;issue=1;spage=36;epage=39;aulast=Sarkar
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AT arnabkumarpatra ecthymagangrenosumintheperiorbitalregioninapreviouslyhealthyimmunocompetentwomanwithoutbacteremia
AT madhumitamondal ecthymagangrenosumintheperiorbitalregioninapreviouslyhealthyimmunocompetentwomanwithoutbacteremia