Title of article :
Periorbital Ecthyma Gangrenosum Due to Pseudomonas Aeruginosa Septicemia in an Infant with Sepsis: A Case Report
Author/Authors :
Etezad Razavi ، Mohammad Eye Research Center - Mashhad University of Medical Sciences , Ghavami Shahri ، Hossein Department of Ophthalmology - Eye Research Center - Mashhad University of Medical Sciences Khatam Al Anbiya Hospital Mashhad University of Medical Sciences , Shekarchian ، Farid Eye Research Center - Mashhad University of Medical Sciences , Hajmohammadi ، Sepide Department of Pediatrics - Mashhad University of Medical Sciences , Heidarzadeh ، Hamid Reza Eye Research Center - Mashhad University of Medical Sciences
Abstract :
Purpose: This article aimed to report an infant case of congenital neutropenia (CN) with periorbital ecthyma gangrenosum (EG) due to pseudomonas aeruginosa septicemia. Case report: A previously healthy six-month-old male infant with fever, diarrhea, poor feeding, pancytopenia, periorbital swelling, and eyelid ulcers in the left eye was admitted in pediatric intensive care unit (PICU). He had positive blood and eyelid wound cultures for pseudomonas aeruginosa. He was treated with broad spectrum intravenous antipseudomonal antibiotics and debridement of periorbital lesions and discharged after 18 days with a stable condition. Adequate hematologic workup for pancytopenia revealed the diagnosis of CN. Conclusion: There is a possibility that EG be developed in patients with immunodeficiency as preseptal cellulitis with isolated typical lesions, and this should be considered in the treatment
Keywords :
Case Report , Congenital Neutropenia , Chronic Neutropenia , Cutaneous Infection , Ecthyma Gangrenosum , Immunodeficiency , Isolated Typical Lesions , Preseptal Cellulitis , Pseudomonas Aeruginosa.
Journal title :
International Journal of Pediatrics
Journal title :
International Journal of Pediatrics
