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KMID : 0387820130200010059
Clinical Pediatric Hematology-Oncology
2013 Volume.20 No. 1 p.59 ~ p.61
Ecthyma Gangrenosum Caused by Klebsiella Pneumoniae in Immunocompromised Patient Associated with Severe Aplastic Anemia
Lee Min-Kyung

Yoo Sun-Young
Hwang Pyoung-Han
Abstract
Ecthyma gangrenosum (EG) is a skin infection that is classically associated with Pseudomonas aeruginosa septicemia in immunocompromised patients with severe neutropenia. Other bacterial, viral, and fungal pathogens also have been implicated in EG. EG is rare condition with characteristic clinical appearance of red macule that progresses to a central area presenting a necrotic black or gray-black eschar with surrounding erythema. The skin lesions usually occur in the gluteal and perineal regions or extremities and widespread over the body. Although the usual outcome is poor, early recognition and appropriate systemic antibiotic treatment can lead to successful outcome. Therefore, we describe a case of EG associated with Klebsiella pneimoniae in a 15-year-old patient with severe aplastic anemia and review the literature.
KEYWORD
Ecthyma gangrenosum, Klebsiella pneumoniae, Aplastic anemia
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