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Hamed A, Niehaus AG, Bosshardt Hughes O, Jakharia N. Ecthyma gangrenosum without bacteremia in a 54-year-old woman with heart transplant. Transpl Infect Dis 2020; 22:e13319. [PMID: 32396652 DOI: 10.1111/tid.13319] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Revised: 04/25/2020] [Accepted: 05/02/2020] [Indexed: 11/27/2022]
Abstract
Ecthyma gangrenosum is a cutaneous manifestation of severe systemic pseudomonas infection and is commonly associated with bacteremia. It is common in immunocompromised patients with underlying neutropenia or leukopenia. We report a patient with heart transplant who developed a single lesion of ecthyma gangrenosum in the absence of bacteremia with a review of reported cases in solid organ transplant patients.
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Affiliation(s)
- Almutasem Hamed
- Division of Infectious Diseases, Department of Internal Medicine, Wake Forest Baptist Health, Winston-Salem, NC, USA
| | - Angela G Niehaus
- Department of Pathology, Wake Forest Baptist Health, Winston-Salem, NC, USA
| | | | - Niyati Jakharia
- Division of Infectious Diseases, Department of Internal Medicine, Wake Forest Baptist Health, Winston-Salem, NC, USA
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Fukui KO, Shoji K, Nagai Y, Shindo T, Hikosaka M, Kuwahara K, Ishiguro A, Miyairi I. Ecthyma gangrenosum in a 3-year-old boy post-heart transplantation. Transpl Infect Dis 2019; 21:e13131. [PMID: 31216602 DOI: 10.1111/tid.13131] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2019] [Revised: 05/25/2019] [Accepted: 06/09/2019] [Indexed: 11/27/2022]
Abstract
Ecthyma 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.
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Affiliation(s)
- Kana Okazaki Fukui
- Center of Postgraduate Education and Training, National Center for Child Health and Development, Setagaya-ku, Japan
| | - Kensuke Shoji
- Division of Infectious Diseases, Department Medical Subspecialties, National Center for Child Health and Development, Setagaya-ku, Japan
| | - Yusa Nagai
- Center of Postgraduate Education and Training, National Center for Child Health and Development, Setagaya-ku, Japan
| | - Takahiro Shindo
- Division of Cardiology, Department Medical Subspecialties, National Center for Child Health and Development, Setagaya-ku, Japan
| | - Makoto Hikosaka
- Division of Plastic Surgery, Department of Surgical Subspecialties, National Center for Child Health and Development, Setagaya-ku, Japan
| | - Kosuke Kuwahara
- Division of Plastic Surgery, Department of Surgical Subspecialties, National Center for Child Health and Development, Setagaya-ku, Japan
| | - Akira Ishiguro
- Center of Postgraduate Education and Training, National Center for Child Health and Development, Setagaya-ku, Japan
| | - Isao Miyairi
- Division of Infectious Diseases, Department Medical Subspecialties, National Center for Child Health and Development, Setagaya-ku, Japan.,Department of Microbiology, Immunology, and Biochemistry, University of Tennessee Health Science Center, Memphis, Tennessee, USA
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