Skip to main content
  • Home
  • Articles
    • Archive from 2022 July
    • Archive 1960 to 2022 June
    • Accepted Articles
    • Published Ahead-of-Print
    • Supplement
  • About
  • For Authors
  • Podcasts

Ecthyma gangrenosum: a manifestation of Pseudomonas sepsis in three paediatric patients

< Back to Listing

Share this Article

Singapore Med J 2006; 47(12): 1080-1083
Ecthyma gangrenosum: a manifestation of Pseudomonas sepsis in three paediatric patients

  • Abstract
  • PDF

Chan YH, Chong CY, Puthucheary J, Loh TF
Correspondence: Dr Chan Yoke Hwee, chanyh@kkh.com.sg

ABSTRACT
Pseudomonas aeruginosa sepsis rarely occurs in healthy children. In immunocompromised children, it usually carries a high mortality rate. Ecthyma gangrenosum is a known cutaneous manifestation of Pseudomonas septicaemia. Three paediatric cases of Pseudomonas aeruginosa septicaemia with ecthyma gangrenosum were retrospectively reviewed. The three patients were aged seven years, seven months, and five months, respectively. An underlying disease of hypogammaglobulinaemia was present in the oldest patient. Blood cultures grew Pseudomonas aeruginosa in all three patients. All underwent repeated wound debridement and received intravenous ceftazidime and an aminoglycoside for a minimum of two weeks. One needed colostomy and subsequent posterior sagittal anorectoplasty as a result of complete obliteration of the anal canal from the ecthyma. There was no mortality. In conclusion, Pseudomonas aeruginosa sepsis should be treated early. Recognition of ecthyma gangrenosum as a manifestation of this problem can allow early institution of the appropriate antibiotics before culture results.

Keywords: ecthyma gangrenosum, hypo-gammaglobulinaemia, immunocompromised children, Pseudomonas aeruginosa
Singapore Med J 2006; 47(12): 1080-1083

http://smj.org.sg/sites/default/files/4712/4712cr1.pdf
×

Around the Site

Home

About SMJ

For Reviewers

Sign Up for Alerts

Issues

Current Issue

All Issues

Online First

Supplement

CME

For Authors

Instructions for Authors

Submit Manuscript


Follow us on:
        

More Links

Contact Us

Copyright

Advertise

SMJ Forms

Privacy Policy

SMA Home

Copyright 2021. Singapore Medical Association. All Rights Reserved.