Ecthyma gangrenosum: Difference between revisions
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==Background== |
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*Necrotizing skin ulcers secondary to bacteremia in immunocompromised patients, traditionally caused by [[Pseudomonas aeruginosa]] |
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===Microbiology=== |
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*[[Pseudomonas aeruginosa]] the most common cause (75%)[[CiteRef::vaiman2014ec]] |
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**Likely the only cause in immunocompetent patients[[CiteRef::2015ec]] |
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* Other, rare causes include [[Aeromonas hydrophila]], [[Fusarium solani]], [[Candida albicans]], [[Pseudomonas stutzeri]], and [[Escherichia coli]] |
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*Other bacteria (15%) |
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**[[Aeromonas hydrophila]] (4%) |
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**[[Stenotrophomonas maltophilia]] (2.4%) |
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**[[Escherichia coli]] (2.4%) |
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**[[Burkholderia cepacia]] |
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**[[Pseudomonas stutzeri]] |
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**[[Klebsiella pneumoniae]] |
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**[[Citrobacter freundii]] |
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**[[Staphylococcus aureus]] |
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**[[Staphylococcus epidermidis]] |
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**[[Non-tuberculous mycobacteria]] |
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*Fungi (10%) |
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**[[Fusarium solani]], likely the most common fungal cause |
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**[[Candida albicans]] |
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**[[Candida tropicalis]] |
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**[[Mucor pusillus]] |
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**[[Scytalidium dimidiatum]] |
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**[[Metarhizium anisopliae]] |
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[[Category:Skin and soft tissue infections]] |
[[Category:Skin and soft tissue infections]] |
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Latest revision as of 00:46, 16 September 2020
Background
- Necrotizing skin ulcers secondary to bacteremia in immunocompromised patients, traditionally caused by Pseudomonas aeruginosa
Microbiology
- Pseudomonas aeruginosa the most common cause (75%)1
- Likely the only cause in immunocompetent patients2
- Other bacteria (15%)
- Fungi (10%)
- Fusarium solani, likely the most common fungal cause
- Candida albicans
- Candida tropicalis
- Mucor pusillus
- Scytalidium dimidiatum
- Metarhizium anisopliae
References
- ^ M. Vaiman, T. Lazarovitch, L. Heller, G. Lotan. Ecthyma gangrenosum and ecthyma-like lesions: review article. European Journal of Clinical Microbiology & Infectious Diseases. 2014;34(4):633-639. doi:10.1007/s10096-014-2277-6.
- ^ Michael Vaiman;Tsilia Lasarovitch;Lior Heller;Gad Lotan. Ecthyma gangrenosum versus ecthyma-like lesions: should we separate these conditions?. Acta Dermatovenerologica Alpina Pannonica et Adriatica. 2015;24(4). doi:10.15570/actaapa.2015.18.
