Nonpseudomonal ecthyma gangrenosum

Hilary L Reich, Darice Williams Fadeyi, Narayan S Naik, Paul J Honig, Albert C Yan
Journal of the American Academy of Dermatology 2004, 50 (5 Suppl): S114-7
Ecthyma gangrenosum is a cutaneous infection associated most commonly with pseudomonal sepsis in the patient who is immunocompromised. We describe an 8-month-old girl with acute myelocytic leukemia who developed perineal ecthyma gangrenosum caused by Citrobacter freundii, a gram-negative pathogen that has been rarely associated with cutaneous disease. We also review the literature to categorize the range of pseudomonal and nonpseudomonal pathogens associated with ecthyma gangrenosum.

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