Periorbital Ecthyma Gangrenosum Due to Pseudomonas Aeruginosa Septicemia in an Infant with Sepsis: A Case Report

Etezad Razavi, Mohammad; Ghavami Shahri, Seyed Hossein; Shekarchian, Farid; Heidarzadeh, Hamid Reza; Hajmohammadi, Sepide

doi:10.22038/ijp.2022.64385.4887

Periorbital Ecthyma Gangrenosum Due to Pseudomonas Aeruginosa Septicemia in an Infant with Sepsis: A Case Report

Document Type : case report

Authors

Mohammad Etezad Razavi ¹

Seyed Hossein Ghavami Shahri ²

Farid Shekarchian ¹

Hamid Reza Heidarzadeh ¹

Sepide Hajmohammadi ³

¹ Eye Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

² Assistant Professor of Ophthalmology Department of Ophthalmology, School of Medicine Khatam Al Anbiya Hospital Mashhad University of Medical Sciences

³ Department of Pediatrics, Mashhad University of Medical Sciences, Mashhad, Iran

10.22038/ijp.2022.64385.4887

Abstract

Purpose: This article aimed to report an infant case of congenital neutropenia (CN) with periorbital ecthyma gangrenosum (EG) due to pseudomonas aeruginosa septicemia.
Case report: A previously healthy six-month-old male infant with fever, diarrhea, poor feeding, pancytopenia, periorbital swelling, and eyelid ulcers in the left eye was admitted in pediatric intensive care unit (PICU). He had positive blood and eyelid wound cultures for pseudomonas aeruginosa. He was treated with broad spectrum intravenous antipseudomonal antibiotics and debridement of periorbital lesions and discharged after 18 days with a stable condition. Adequate hematologic workup for pancytopenia revealed the diagnosis of CN.
Conclusion: There is a possibility that EG be developed in patients with immunodeficiency as preseptal cellulitis with isolated typical lesions, and this should be considered in the treatment.

Keywords

Ecthyma Gangrenosum

Pseudomonas Aeruginosa

Congenital Neutropenia

Case Report

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