Ecthyma gangrenosum in a 3‐year‐old boy post‐heart transplantation

Abstract

Abbreviations: ED, emergency department; EG, ecthyma gangrenosum; HSCT, hematopoietic stem cell transplant; P aeruginosa, Pseudomonas aeruginosa; PTLD, post-transplant lymphoproliferative disorder. AbstractEcthyma gangrenosum (EG) is a serious bacterial infection in immunocompromised patients. EG in transplant recipients is rarely reported and may go unrecognized, which may delay initiation of appropriate treatment. We report a case of EG in a pediatric heart transplant recipient who was treated successfully with antibiotics and surgical debridement. K E Y W O R D S ecthyma gangrenosum, heart transplant recipient, Pseudomonas aeruginosa, rituximab

Ecthyma gangrenosum in a 7‐year‐old girl: Is it a sign of acute lymphoblastic leukaemia?

“…PSAE is the most common pathogen responsible for EG, but evidence of coinfection and of infection from different agents, including Staphylococcus aureus , Escherichia coli , Klebsiella spp ., has been reported in the literature . Paediatric patients are often involved: EG has been described in immunocompromised subjects following heart transplant or suffering from ipogammaglobulinaemia or malignancies, such as in our case. In other cases, no predisposing condition was apparent .…”