[Ecthyma gangrenosum and Pseudomonas aeruginosa septicemia in intensive care unit]

P Befort; P Corne; B Riviere; A Bourdin; O Jonquet

doi:10.1016/j.annfar.2010.11.004

[Ecthyma gangrenosum and Pseudomonas aeruginosa septicemia in intensive care unit]

Ann Fr Anesth Reanim. 2011 Jan;30(1):80-2. doi: 10.1016/j.annfar.2010.11.004. Epub 2010 Dec 14.

[Article in French]

Authors

P Befort¹, P Corne, B Riviere, A Bourdin, O Jonquet

Affiliation

¹ Service de réanimation médicale assistance respiratoire, hôpital Gui-de-Chauliac, CHU de Montpellier, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France. patrice.befort@gmail.com

PMID: 21159484
DOI: 10.1016/j.annfar.2010.11.004

Abstract

We report a case of a Pseudomonas aeruginosa septicemia complicated by a septic shock after chemotherapy for pulmonary cancer. Bilateral legs necrotic purpura corresponding to echtyma gangrenosum lesions (erythematous inflammatory halo, positive bacteriologic cutaneous biopsy) was noted 48 h previous to the shock. Echtyma gangrenosum manifestation should alert physician to P. aeruginosa septicemia risk and can be useful to guide probabilist antibiotherapy.

Publication types

Case Reports
English Abstract

MeSH terms

Adenocarcinoma / complications
Adenocarcinoma / drug therapy
Antineoplastic Agents / adverse effects
Brain Neoplasms / secondary
Critical Care
Gangrene / complications*
Gangrene / microbiology
Humans
Intensive Care Units
Lung Neoplasms / complications
Lung Neoplasms / drug therapy
Male
Middle Aged
Necrosis
Neutropenia / chemically induced
Neutropenia / complications
Pseudomonas Infections / complications*
Pseudomonas Infections / microbiology
Sepsis / complications*
Sepsis / microbiology
Shock, Septic / complications
Shock, Septic / microbiology
Skin / microbiology

Substances

Antineoplastic Agents