Luis NE, Morayta RCA, Ordoñez OJ, Gutiérrez MJ

Language: Spanish
References: 16
Page: 128-134
PDF size: 259.24 Kb.

ABSTRACT

Ecthyma gangrenosum is a rare skin infection, classically associated with Pseudomonas aeruginosa, other causative agents have also been described as Streptococcus pyogenes, Staphylococcus aureus, Klebsiella pneumoniae, etc. In immunocompromised patients with neutropenia, the majority of cases are due to Pseudomonas aeruginosa, posing challenges especially in microbiological diagnosis and antimicrobial therapy. The diagnosis is eminently clinical, but must be confirmed by other diagnostic methods (biopsy-culture, Gram stain, histopathological examination), being of utmost importance to start an effective early antibiotic treatment, since it is a key factor in the prognosis for survival of pediatric patients. In this article, we carry out a retrospective review of three clinical cases of ecthyma gangrenosum in immunocompromised patients at a third level hospital in Mexico City.

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