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KMID : 1035620180060040229
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Allergy Asthma & Respiratory Disease
2018 Volume.6 No. 4 p.229 ~ p.233
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Ecthyma gangrenosum and agranulocytosis in a previously healthy 12-month-old girl: Report of 1 case with a literature review
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Yoon Ji-Soo
Kim Dong-Hyun
Lee Seung-Ju
Bang Hyun-Ho
Bae Sun-Mi
Park Kyeong-Bae
Lee Sung-Yul
Jung Ki-Jin
Choi Young-Jin
Lee Hyun-Jung
Park Joon-Soo
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Abstract
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Ecthyma gangrenosum (EG) is a rare skin manifestation which starts with a maculopapular eruption and followed by a necrotic ulcer covered with black eschar. EG usually occurs in immunosuppressed patients with Pseudomonas aeruginosa sepsis. We present a previously healthy 12-month-old girl with EG by P. aeruginosa and agranulocytosis due to influenza A and then rhinovirus infection, without bacteremia. It is important for allergists to culture wound and differentiate EG from other skin disorders including Tsutsugamushi disease and initiate appropriate empiric antipseudomonal antibiotic treatment, and to evaluate for possible immunodeficiency, even in a healthy child.
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KEYWORD
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Ecthyma gangrenosum, Agranulocytosis, Pseudomonas aeruginosa
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