35 year old male had sustained a leg injury followed by development of a large ulcer over the accident site with high grade fever and acute renal failure.
What is the skin condition in the picture?
What is the probable organism responsible for it?
Answer:
Ecthyma Gangrenosum
Ecthyma gangrenosum (EG) is a well-recognized but uncommon cutaneous infection most often associated with a Pseudomonas aeruginosa bacteremia. EG usually occurs in patients who are critically ill and immunocompromised and is almost always a sign of pseudomonal sepsis. The characteristic lesions of EG are hemorrhagic pustules or infracted-appearing areas with surrounding erythema that evolve into necrotic ulcers surrounded by erythema.
This patient had grown Pseudomonas from his blood cs and he expired after 2 days of admission due to reractory septic shock.
What is the skin condition in the picture?
What is the probable organism responsible for it?
Answer:
Ecthyma Gangrenosum
Ecthyma gangrenosum (EG) is a well-recognized but uncommon cutaneous infection most often associated with a Pseudomonas aeruginosa bacteremia. EG usually occurs in patients who are critically ill and immunocompromised and is almost always a sign of pseudomonal sepsis. The characteristic lesions of EG are hemorrhagic pustules or infracted-appearing areas with surrounding erythema that evolve into necrotic ulcers surrounded by erythema.
This patient had grown Pseudomonas from his blood cs and he expired after 2 days of admission due to reractory septic shock.
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