“…Pseudomonas septicemia reflects a state of immunocompromise and most commonly presents in patients with neutropenia, burns, prolonged courses of antibiotics, chemotherapy, complement deficiencies, or hematologic malignancies, as in our patient (3,4). Ecthyma gangrenosum has been reported to occur in up to 30% of patients with Pseudomonas septicemia, and mortality rates range from 38% to 96% (5,6). Ecthyma gangrenosum also can occur in the absence of bacteremia, but skin lesions are few or solitary, thought to be due to direct inoculation, and the mortality rate is significantly lower (3,6).…”