Periocular ecthyma gangrenosum with Pseudomonas septicemia in an infant: A case report
Ecthyma gangrenosum is a skin manifestation of fatal septicemia. We report a case of periocular ecthyma gangrenosum, which is an uncommonly infected area and rarely reported in infants. A 1-month-old female infant with periocular ecthyma gangrenosum presented with a high-grade fever and acute left m...
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| Materiálatiipa: | Artihkal |
| Giella: | English |
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Elsevier
2023-01-01
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| Ráidu: | IDCases |
| Fáttát: | |
| Liŋkkat: | http://www.sciencedirect.com/science/article/pii/S2214250923002184 |
| _version_ | 1827620792980996096 |
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| author | Supawan Surukrattanaskul Rosana Pittayapongpat Nutsuchar Wangtiraumnuay |
| author_facet | Supawan Surukrattanaskul Rosana Pittayapongpat Nutsuchar Wangtiraumnuay |
| author_sort | Supawan Surukrattanaskul |
| collection | DOAJ |
| description | Ecthyma gangrenosum is a skin manifestation of fatal septicemia. We report a case of periocular ecthyma gangrenosum, which is an uncommonly infected area and rarely reported in infants. A 1-month-old female infant with periocular ecthyma gangrenosum presented with a high-grade fever and acute left medial canthus of the eyelid swelling and erythema. Hemoculture at 6 h confirmed Pseudomonas aeruginosa infection. Intravenous and topical antibiotics were administered. Daily dressing of the wound and noninvasive bedside escharectomy were performed. Cosmetically acceptable scar was achieved without additional surgery. The patient was considered to have congenital neutropenia due to persistent neutropenia and severe skin and mucosal infections in her first year of life. Noninvasive debridement of the wound reduces the risk of exposure keratitis, lacrimal drainage pathway damage, and the need for further surgical reconstruction. The cause of compromised immunity in infants with ecthyma gangrenosum should be investigated, and intensive follow-up is recommended. |
| first_indexed | 2024-03-09T10:52:57Z |
| format | Article |
| id | doaj.art-fca62c9f5ffb4aecad101cb6685b838a |
| institution | Directory Open Access Journal |
| issn | 2214-2509 |
| language | English |
| last_indexed | 2024-03-09T10:52:57Z |
| publishDate | 2023-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | IDCases |
| spelling | doaj.art-fca62c9f5ffb4aecad101cb6685b838a2023-12-01T05:01:49ZengElsevierIDCases2214-25092023-01-0134e01894Periocular ecthyma gangrenosum with Pseudomonas septicemia in an infant: A case reportSupawan Surukrattanaskul0Rosana Pittayapongpat1Nutsuchar Wangtiraumnuay2Department of Ophthalmology, Queen Sirikit National Institute of Child Health, Bangkok, ThailandDepartment of Ophthalmology, Queen Sirikit National Institute of Child Health, Bangkok, ThailandCorresponding author.; Department of Ophthalmology, Queen Sirikit National Institute of Child Health, Bangkok, ThailandEcthyma gangrenosum is a skin manifestation of fatal septicemia. We report a case of periocular ecthyma gangrenosum, which is an uncommonly infected area and rarely reported in infants. A 1-month-old female infant with periocular ecthyma gangrenosum presented with a high-grade fever and acute left medial canthus of the eyelid swelling and erythema. Hemoculture at 6 h confirmed Pseudomonas aeruginosa infection. Intravenous and topical antibiotics were administered. Daily dressing of the wound and noninvasive bedside escharectomy were performed. Cosmetically acceptable scar was achieved without additional surgery. The patient was considered to have congenital neutropenia due to persistent neutropenia and severe skin and mucosal infections in her first year of life. Noninvasive debridement of the wound reduces the risk of exposure keratitis, lacrimal drainage pathway damage, and the need for further surgical reconstruction. The cause of compromised immunity in infants with ecthyma gangrenosum should be investigated, and intensive follow-up is recommended.http://www.sciencedirect.com/science/article/pii/S2214250923002184Ecthyma gangrenosumPeriocularCongenital neutropenia |
| spellingShingle | Supawan Surukrattanaskul Rosana Pittayapongpat Nutsuchar Wangtiraumnuay Periocular ecthyma gangrenosum with Pseudomonas septicemia in an infant: A case report IDCases Ecthyma gangrenosum Periocular Congenital neutropenia |
| title | Periocular ecthyma gangrenosum with Pseudomonas septicemia in an infant: A case report |
| title_full | Periocular ecthyma gangrenosum with Pseudomonas septicemia in an infant: A case report |
| title_fullStr | Periocular ecthyma gangrenosum with Pseudomonas septicemia in an infant: A case report |
| title_full_unstemmed | Periocular ecthyma gangrenosum with Pseudomonas septicemia in an infant: A case report |
| title_short | Periocular ecthyma gangrenosum with Pseudomonas septicemia in an infant: A case report |
| title_sort | periocular ecthyma gangrenosum with pseudomonas septicemia in an infant a case report |
| topic | Ecthyma gangrenosum Periocular Congenital neutropenia |
| url | http://www.sciencedirect.com/science/article/pii/S2214250923002184 |
| work_keys_str_mv | AT supawansurukrattanaskul periocularecthymagangrenosumwithpseudomonassepticemiainaninfantacasereport AT rosanapittayapongpat periocularecthymagangrenosumwithpseudomonassepticemiainaninfantacasereport AT nutsucharwangtiraumnuay periocularecthymagangrenosumwithpseudomonassepticemiainaninfantacasereport |