Ecthyma Gangrenosum Related to Pseudomonas aeruginosa Infection Developed in a Child with Fanconi Aplastic Anemia

Odalı, Pınar; Karaman, Serap; Tuğcu, Deniz; Kara, Manolya; Hançerli Törün, Selda; Sütçü, Murat; Karagenç, Ayşe; Karakaş, Zeynep; Salman, Nuran; Somer, Ayper

doi:https://dx.doi.org/10.5222/j.child.2016.098

Case Report

DOI :10.5222/j.child.2016.098 IUP :10.5222/j.child.2016.098 Full Text (PDF)

Ecthyma Gangrenosum Related to Pseudomonas aeruginosa Infection Developed in a Child with Fanconi Aplastic Anemia

Pınar Odalı, Serap Karaman, Deniz Tuğcu, Manolya Kara, Selda Hançerli Törün, Murat Sütçü, Ayşe Karagenç, Zeynep Karakaş, Nuran Salman, Ayper Somer

Objective: Ecthyma gangrenosum (EG), is a rare cutaneous lesion associated with Pseudomonas aeruginosa bacteremia. Herein, we present a pediatric EG case admitted without bacteremia. Case report: A 15-year old girl diagnosed with Fanconi aplastic anemia presented with newly occured vesiculopustular lesion suddenly developed on anterior aspect of her right knee and fever. She was in a good medical condition with fever of 38.5°C. There was a vesiculopustular lesion with a diameter of 3x3 cm with a black-colored center on her right knee surrounded by edematous, erythematous, and painful area. Laboratory examination revealed an increase in acute phase reactants. Blood and sterile aspiration cultures were performed, and she was started on teicoplanin plus piperacillin-tazobactam. For her neutropenia filgrastim (10 mcg/kg/day for 3 days) treatment was initiated. Aspiration culture from the lesion yielded Pseudomonas aeruginosa growth while blood culture remained sterile. Prominent regression was observed in the lesion with medical treatment. Conclusion: EG should be evaluated as a life-threatening emergency and should be treated urgently even in the absence of bacteremia.

Keywords: Child, ecthyma gangrenosum, Pseudomonas aeruginosa

DOI :10.5222/j.child.2016.098 IUP :10.5222/j.child.2016.098 Full Text (PDF)

Fankoni Aplastik Anemisi Tanılı Çocuk Hastada Pseudomonas aeruginosa Enfeksiyonuna Bağlı Gelişen Ektima Gangrenozum

Pınar Odalı, Serap Karaman, Deniz Tuğcu, Manolya Kara, Selda Hançerli Törün, Murat Sütçü, Ayşe Karagenç, Zeynep Karakaş, Nuran Salman, Ayper Somer

Amaç: Ektima gangrenozum (EG), Pseudomonas aeruginosa bakteriyemisi ile ilişkilendirilen ender bir cilt lezyonudur. Burada, Fankoni aplastik anemi tanılı, bakteriyemi olmadan EG ile başvuran bir çocuk vaka sunulmuştur. Vaka sunumu: Fankoni aplastik anemisi tanılı 15 yaşında kız hasta, sağ diz ön yüzünde ani gelişen vezikülopüstüler lezyon ve ateş yakınması ile başvurdu. Genel durumu iyi olan hastanın ateşi 38,5°C idi. Sağ diz ön yüzde, 3x3 cm boyutlarında ortası siyah renkli, vezikülo-püstüler görünümde, çevresi eritemli, ödemli ve ağrılı lezyon mevcuttu. Laboratuvar incelemesinde akut faz yüksekliği saptanan hastaya kan kültürü ve dizinde bulunan lezyondan steril şartlarda örnek alınarak teikoplanin ve piperasilin-tazobaktam başlandı. Nötropeni açısından 10 mcg/kg/gün dozdan 3 günlük filgrastim tedavisi uygulandı. Lezyondan alınan aspirat kültüründe Pseudomonas aeruginosa üremesi olan hastanın kan kültürü steril sonuçlandı. Medikal tedavisine devam edilen hastanın lezyonunda belirgin regresyon izlendi. Sonuç: Ektima gangrenozum bakteriyemi olmasa da hayati tehdit edebilecek ciddi bir enfeksiyonun bulgusu olarak değerlendirilmeli ve uygun tedaviye hızlıca başlanmalıdır

Keywords: Çocuk, ektima gangrenozum, Pseudomonas aeruginosa

References

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APA

Odalı, P., Karaman, S., Tuğcu, D., Kara, M., Hançerli Törün, S., Sütçü, M., Karagenç, A., Karakaş, Z., Salman, N., & Somer, A. (2016). Ecthyma Gangrenosum Related to Pseudomonas aeruginosa Infection Developed in a Child with Fanconi Aplastic Anemia. Journal of Child, 16(2), 98-101. https://doi.org/10.5222/j.child.2016.098

AMA

Odalı P, Karaman S, Tuğcu D, Kara M, Hançerli Törün S, Sütçü M, Karagenç A, Karakaş Z, Salman N, Somer A. Ecthyma Gangrenosum Related to Pseudomonas aeruginosa Infection Developed in a Child with Fanconi Aplastic Anemia. Journal of Child. 2016;16(2):98-101. https://doi.org/10.5222/j.child.2016.098

ABNT

Odalı, P.; Karaman, S.; Tuğcu, D.; Kara, M.; Hançerli Törün, S.; Sütçü, M.; Karagenç, A.; Karakaş, Z.; Salman, N.; Somer, A. Ecthyma Gangrenosum Related to Pseudomonas aeruginosa Infection Developed in a Child with Fanconi Aplastic Anemia. Journal of Child, [Publisher Location], v. 16, n. 2, p. 98-101, 2016.

Chicago: Author-Date Style

Odalı, Pınar, and Serap Karaman and Deniz Tuğcu and Manolya Kara and Selda Hançerli Törün and Murat Sütçü and Ayşe Karagenç and Zeynep Karakaş and Nuran Salman and Ayper Somer. 2016. “Ecthyma Gangrenosum Related to Pseudomonas aeruginosa Infection Developed in a Child with Fanconi Aplastic Anemia.” Journal of Child 16, no. 2: 98-101. https://doi.org/10.5222/j.child.2016.098

Chicago: Humanities Style

Odalı, Pınar, and Serap Karaman and Deniz Tuğcu and Manolya Kara and Selda Hançerli Törün and Murat Sütçü and Ayşe Karagenç and Zeynep Karakaş and Nuran Salman and Ayper Somer. “Ecthyma Gangrenosum Related to Pseudomonas aeruginosa Infection Developed in a Child with Fanconi Aplastic Anemia.” Journal of Child 16, no. 2 (Aug. 2025): 98-101. https://doi.org/10.5222/j.child.2016.098

Harvard: Australian Style

Odalı, P & Karaman, S & Tuğcu, D & Kara, M & Hançerli Törün, S & Sütçü, M & Karagenç, A & Karakaş, Z & Salman, N & Somer, A 2016, 'Ecthyma Gangrenosum Related to Pseudomonas aeruginosa Infection Developed in a Child with Fanconi Aplastic Anemia', Journal of Child, vol. 16, no. 2, pp. 98-101, viewed 12 Aug. 2025, https://doi.org/10.5222/j.child.2016.098

Harvard: Author-Date Style

Odalı, P. and Karaman, S. and Tuğcu, D. and Kara, M. and Hançerli Törün, S. and Sütçü, M. and Karagenç, A. and Karakaş, Z. and Salman, N. and Somer, A. (2016) ‘Ecthyma Gangrenosum Related to Pseudomonas aeruginosa Infection Developed in a Child with Fanconi Aplastic Anemia’, Journal of Child, 16(2), pp. 98-101. https://doi.org/10.5222/j.child.2016.098 (12 Aug. 2025).

MLA

Odalı, Pınar, and Serap Karaman and Deniz Tuğcu and Manolya Kara and Selda Hançerli Törün and Murat Sütçü and Ayşe Karagenç and Zeynep Karakaş and Nuran Salman and Ayper Somer. “Ecthyma Gangrenosum Related to Pseudomonas aeruginosa Infection Developed in a Child with Fanconi Aplastic Anemia.” Journal of Child, vol. 16, no. 2, 2016, pp. 98-101. [Database Container], https://doi.org/10.5222/j.child.2016.098

Vancouver

Odalı P, Karaman S, Tuğcu D, Kara M, Hançerli Törün S, Sütçü M, Karagenç A, Karakaş Z, Salman N, Somer A. Ecthyma Gangrenosum Related to Pseudomonas aeruginosa Infection Developed in a Child with Fanconi Aplastic Anemia. Journal of Child [Internet]. 12 Aug. 2025 [cited 12 Aug. 2025];16(2):98-101. Available from: https://doi.org/10.5222/j.child.2016.098 doi: 10.5222/j.child.2016.098

ISNAD

Odalı, Pınar - Karaman, Serap - Tuğcu, Deniz - Kara, Manolya - Hançerli Törün, Selda - Sütçü, Murat - Karagenç, Ayşe - Karakaş, Zeynep - Salman, Nuran - Somer, Ayper. “Ecthyma Gangrenosum Related to Pseudomonas aeruginosa Infection Developed in a Child with Fanconi Aplastic Anemia”. Journal of Child 16/2 (Aug. 2025): 98-101. https://doi.org/10.5222/j.child.2016.098

Volume 16, Issue 22016, P. 98-101

TIMELINE

Submitted	05.06.2017
Accepted	21.07.2017

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Journal of Child

Case Report

Ecthyma Gangrenosum Related to Pseudomonas aeruginosa Infection Developed in a Child with Fanconi Aplastic Anemia

Fankoni Aplastik Anemisi Tanılı Çocuk Hastada Pseudomonas aeruginosa Enfeksiyonuna Bağlı Gelişen Ektima Gangrenozum

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