Figueroa BCI, Osorio AIY, Carrasco CJD, Hernández VM, Vega MME

Language: Spanish
References: 7
Page: 70-74
PDF size: 486.98 Kb.

ABSTRACT

Introduction. Ecthyma gangrenosum (EG) is a skin ulcer with usually fulminant bacteremia that usually occurs in immunosuppressed individuals. EG has been considered as a Pseudomonas aeruginosa pathognomonic infection.
Objective. To report the case of a patient with ecthyma gangrenosum without sepsis, associated with a chronic venous ulcer.
Clinical case. 61-year-old woman with a dermatosis, localized to the right lower extremity affecting medial and lateral knee area, characterized by erythematous-violaceous and edematous plaques with a necrotic center with irregular, poorly defined borders and scaling at the periphery. In the distal third of the same extremity she developed another dermatosis of 15 years evolution characterized by an ulcer with irregular borders, well defined, with 50% granular tissue and 50% fibrin. The venous ulcer was treated with silver sulfadiazine cream every 24 hours and compressive bandage. Escherichia coli and Pseudomonas aeruginosa were isolated in tissue culture.
Discussion. Ecthyma gangrenosum is a skin infection that usually occurs in immunocompromised individuals with sepsis but not exclusively, affects all age and sex groups. Pathogens other than P. aeruginosa are now recognized within this entity.

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