Ecthyma Gangrenosum: A Rare Cutaneous Manifestation Caused by Stenotrophomonas maltophilia in a Leukemic Patient
Annals of Dermatology
; : 389-392, 2009.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-174307
Responsible library:
WPRO
ABSTRACT
Ecthyma gangrenosum (EG) is a well-recognized cutaneous infection that most commonly affects immunocompromised patients. It typically occurs on the extremities, or in gluteal and perineal regions. Although Pseudomonas aeruginosa is the most well-known pathogen causing EG, other organisms have been reported to cause EG. Herein we report a rare case of ecthyma gangrenosum presenting as aggressive necrotic skin lesions in perioral and infraorbital areas in a 47-year-old patient with acute myelocytic leukemia after allogeneic bone marrow transplantation. It was caused by Stenotrophomonas maltophilia, which is an aerobic, gram-negative pathogen that has been associated only rarely with cutaneous disease. Blood culture and tissue culture were positive for S. maltophilia. Histological examination revealed numerous tiny bacilli in the dermis and perivascular area. Early recognition of skin lesions caused by S. maltophilia is important to decrease associated mortality in immunosuppressed patients.
Full text:
Available
Health context:
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Leukemia
/
Skin Diseases
Database:
WPRIM (Western Pacific)
Main subject:
Pseudomonas aeruginosa
/
Skin
/
Leukemia, Myeloid, Acute
/
Bone Marrow Transplantation
/
Immunocompromised Host
/
Dermis
/
Stenotrophomonas
/
Stenotrophomonas maltophilia
/
Ecthyma
/
Extremities
Limits:
Humans
Language:
English
Journal:
Annals of Dermatology
Year:
2009
Document type:
Article