• J Med Case Rep · Jan 2008

    Ecthyma gangrenosum without bacteremia in a previously healthy man: a case report.

    • Serap Gençer, Serdar Ozer, Aylin Ege Gül, Mustafa Doğan, and Oznur Ak.
    • Department of Infectious Diseases and Clinical Microbiology, Kartal Dr, Lütfi Kirdar Training and Research Hospital, Istanbul, Turkey. segencer@tnn.net
    • J Med Case Rep. 2008 Jan 1;2:14.

    IntroductionEcthyma gangrenosum is known as a characteristic lesion of Pseudomonas aeruginosa sepsis and is usually seen in immunocompromised patients.Case PresentationA previously healthy 63-year-old man was admitted with sloughy necrotic ulcerations of the skin over his sternum. He was afebrile and in good condition. A skin biopsy revealed ecthyma gangrenosum. Blood cultures remained sterile, but a culture of biopsy material grew Pseudomonas aeruginosa.ConclusionEcthyma gangrenosum may develop even in the absence of bacteremia and even in immunocompetent patients. It should be considered as a possible diagnosis even when a previously healthy patient has negative blood cultures.

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