Aygencel G, Dizbay M, Sahin G
Dept. of Internal Medicine, Gazi University School of Medicine, Ankara, Turkey.
Infection. 2008 Jun;36(3):271-3. doi: 10.1007/s15010-007-6357-8. Epub 2007 Oct 25.
Ecthyma gangrenosum (EG) is considered to be a pathognomonic sign of Pseudomonas aeruginosa septicemia and is predominantly seen in immunosuppressed patients. Although P. aeruginosa is the most recognized pathogen of EG, numerous other organisms have been reported to cause clinically identical lesions. We report a case of an EG-like eruption caused by Burkholderia cepacia, in an intensive care unit patient with multiple myeloma.
坏疽性脓皮病(EG)被认为是铜绿假单胞菌败血症的特征性体征,主要见于免疫抑制患者。虽然铜绿假单胞菌是EG最常见的病原体,但据报道,许多其他微生物也可引起临床上类似的病变。我们报告了1例由洋葱伯克霍尔德菌引起的类似EG皮疹的病例,该患者为重症监护病房的多发性骨髓瘤患者。