Pseudomonas aeruginosa O-11 folliculitis. Development into ecthyma gangrenosum in immunosuppressed patients

Baze, P. El

doi:10.1001/archderm.121.7.873

Cited by 44 publications

(13 citation statements)

References 2 publications

(4 reference statements)

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“…Most of the articles described 1-3 cases as case reports. Few articles described several cases, i.e., eight [19,20], six [21,22], and seven cases [23]. The most recent article of Chuang et al in 2014 described 17 cases of EG that were found among 27 cases of Shanghai fever of P. aeruginosa etiology [24].…”

Section: Resultsmentioning

confidence: 99%

Ecthyma gangrenosum and ecthyma-like lesions: review article

Vaiman

Lazarovitch

Heller

et al. 2014

Eur J Clin Microbiol Infect Dis

175

192

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The generally accepted definition of ecthyma gangrenosum (EG) states that this condition is pathognomonic of Pseudomonas septicemia (Pseudomonas aeruginosa) and that it should usually be seen in immunocompromised patients, particularly those with underlying malignant disease. The cases described in the literature present a somewhat different picture. Our objective was to analyze this controversy. The review analyzes 167 cases of EG that were described in the literature from 1975 to 2014. All articles on EG cases with EG-specific tissue defect that had signs of general and/or local infection and skin necrosis were included and analyzed, whatever the etiology detected. Necrotic lesions of the skin diagnosed as EG have various microbiological etiology, can occur in immunocompetent or even healthy persons, and are not necessarily connected with septicemia. In published cases, P. aeruginosa was detected in 123 cases (73.65%); of them, there were only 72 cases (58.5%) with sepsis. Other bacterial etiology was detected in 29 cases (17.35%) and fungi were detected in 15 cases (9%). While the clinical picture of the disease and the treatment strategy remain the same, there is no need to invent two separate definitions for Pseudomonas and non-Pseudomonas cases. We suggest accepting a broader definition of EG.

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Section: Resultsmentioning

confidence: 99%

Ecthyma gangrenosum and ecthyma-like lesions: review article

Vaiman

Lazarovitch

Heller

et al. 2014

Eur J Clin Microbiol Infect Dis

175

192

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“…The skin lesions can be single or widespread over the body, and the case fatality rate is high. If patients with EG are immunocompromised, they are usually suffering from leukemia, lymphoma, other malignant diseases, severe burns, or organ transplant, or might be receiving immunosuppressive therapy (18)(19)(20). Blood cultures and skin biopsy with culture are necessary for precise diagnosis.…”

Section: Introductionmentioning

confidence: 99%

Ecthyma gangrenosum versus ecthyma-like lesions: should we separate these conditions?

Vaiman

Lasarovitch

Heller

et al. 2015

Acta Dermatovenerologica Alpina Pannonica Et Adriatica

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“…In immunosuppressed patients, PF can develop into ecthyma gangrenosum; in acquired immunodeficiency syndrome (AIDS) patients, Pseudomonas infection may cause subcutaneous nodules or progressive PF with cellulitis. 15–16 In immunocompetent individuals, the mean duration of untreated PF is 15 days, although in some cases PF may persist for many weeks. 1 The most frequent serotypes reported are 0 : 11 1–15 and, to a lesser extent, 0 : 4.…”

Section: Discussionmentioning

confidence: 99%

“…The typical clinical distribution of Pseudomonas aeruginosa eruption has been explained by the possible specific apocrine tropism of Pseudomonas aeruginosa 15 or, in the case of PF due to a diving suit, by hydration and occlusion. 3 In other instances, as in the cases due to the use of hot‐tubes in the nude, 2 and our patients infected after shower/bath exposure, the clinical distribution of the infection was identical.…”

Section: Discussionmentioning

confidence: 99%

Pseudomonas aeruginosa folliculitis after shower/bath exposure

2000

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Based on our experience, we suggest that shower/bath exposure should be definitively included amongst the possible pathogenic events causing PF. Pseudomonas aeruginosa is responsible for a number of clinical pictures, e.g. otitis externa, conjunctivitis, toe web intertrigo, green nail syndrome, infection of burns and wounds, and folliculitis. Pseudomonas aeruginosa folliculitis (PF) has been reported to develop as a consequence of exposure to contaminated water in heated swimming pools, whirlpools, and hot-tubes, or related to diving suits and leg waxing.1-4 We observed 14 cases of PF after shower/bath exposure. This is probably an underestimated pathogenic event; to our knowledge, only one case has been reported to date.5 In our patients, the clinical expression of dermatitis was constant, PF being a clinically well recognizable skin condition.

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Pseudomonas aeruginosa O-11 folliculitis. Development into ecthyma gangrenosum in immunosuppressed patients

Cited by 44 publications

References 2 publications

Ecthyma gangrenosum and ecthyma-like lesions: review article

Ecthyma gangrenosum and ecthyma-like lesions: review article

Ecthyma gangrenosum versus ecthyma-like lesions: should we separate these conditions?

Pseudomonas aeruginosa folliculitis after shower/bath exposure

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