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Volume 47, Number 2, April 2014

Pseudomonas aeruginosa sepsis with ecthyma gangrenosum and pseudomembranous pharyngolaryngitis in a 5-month-old boy 


Li-Ching Fang, Chun-Chih Peng*, Hsin Chi, Kuo-Sheng Lee, Nan-Chang Chiu


Received: November 8, 2011    Revised: April 12, 2012    Accepted: May 15, 2012   

 

Corresponding author:

Corresponding author. Department of Pediatrics, Mackay Memorial Hospital, 92, Section 2, Chung Shan North Road, Taipei 10449, Taiwan. 



 

Background and purpose: 

Pseudomonas aeruginosa infection that induced pseudomembranous laryngopharyngitis and ecthyma gangrenosum simultaneously in a healthy infant is rare. We reported on a previously healthy 5-month-old boy with initial presentation of fever and diarrhea followed by stridor and progressive respiratory distress. P. aeruginosa sepsis was suspected because ecthyma gangrenosum over the right leg was found at the emergency department, and the diagnosis was confirmed by the blood culture. Fiberscope revealed bacterial pharyngolaryngitis without involvement of the trachea. Because of early recognition and adequate treatment, including antimicrobial therapy, noninvasive ventilation, incision, and drainage, he recovered completely without any complications. 



 

Key words:

Bacterial pharyngolaryngitis, Ecthyma gangrenosum, Pseudomonas aeruginosa, Sepsis, Stridor