ECTHYMA GANGRENOSUM IN A NON-NEUTROPAENIC, ELDERLY PATIENT: CASE REPORT AND REVIEW OF THE LITERATURE

被引:9
|
作者
Bettens, S. [1 ]
Delaere, B. [2 ]
Glupczynski, Y. [3 ]
Schoevaerdts, D. [1 ]
Swine, C. [1 ]
机构
[1] Univ Catholique Louvain, Serv Geriatrie, Louvain, Belgium
[2] Univ Catholique Louvain, Dept Malad Infect, Louvain, Belgium
[3] Univ Catholique Louvain, Lab Microbiol Clin, Louvain, Belgium
关键词
ecthyma gangrenosum; Pseudomonas aeruginosa bacteraemia; elderly;
D O I
10.1179/acb.2008.081
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Ecthyma gangrenosum is a cutaneous infection most commonly associated with Pseudomonas aeruginosa bacteraemia, but it may also be encountered after breakdown of mechanical defence barriers and local infection. The characteristic lesions of ecthyma gangrenosum are haemorrhagic blisters with surrounding erythema that rapidly evolve to necrotic ulcers. A high mortality rate is reported, especially when diagnosis is delayed and in the absence of appropriate therapy Ecthyma gangrenosum usually occurs in critically ill and immunocompromized patients. Haematological malignancies and neutropaenia are the major risk factors, but other comorbidities (e.g. diabetes mellitus and malnutrition) have also been involved. Here, we report a case of ecthyma gangrenosum in a non-neutropeanic elderly patient with multiple comorbidities review the literature on ecthyma gangrenosum.
引用
收藏
页码:394 / 397
页数:4
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