Doughty Cara B, Cruz Andrea T, Kaplan Sheldon L
Department of Pediatrics, Sections of Emergency Medicine, Baylor College of Medicine, Houston, TX, USA.
Pediatr Emerg Care. 2009 Feb;25(2):100-1. doi: 10.1097/PEC.0b013e318196fad6.
Ecthyma gangrenosum (EG) is a cutaneous manifestation of bacteremia and has classically been associated with Pseudomonas aeruginosa sepsis. The major risk factor for EG is neutropenia, and it is important to recognize that infectious lesions in neutropenic patients may lack the classic inflammatory features of infection in normal hosts. Ecthyma gangrenosum can be the herald of severe sepsis in neutropenic children.