Penz S, Puzenat E, Saccomani C, Mermet I, Blanc D, Humbert P, Aubin F
Service de dermatologie, centre hospitalier universitaire de Besançon, université de Franche-Comté, 2, place Saint-Jacques, 25030 Besancon cedex, France.
Med Mal Infect. 2010 Oct;40(10):593-5. doi: 10.1016/j.medmal.2010.01.001. Epub 2010 Feb 18.
A 72-year-old diabetic woman was referred with a painful chronic leg ulcer associated with venous and arterial insufficiency. She then developed a polymorphous skin infection due to Pseudomonas aeruginosa, with ecthyma gangrenosum, subcutaneous abscess and panniculitis of the homolateral inferior limb, without general sepsis. Although P. aeruginosa infection may induce polymorphous skin lesions, they are most often observed in immunocompromised patients following septicaemia.
一名72岁的糖尿病女性因伴有静脉和动脉功能不全的慢性腿部疼痛性溃疡前来就诊。随后,她出现了由铜绿假单胞菌引起的多形性皮肤感染,患侧下肢出现坏疽性脓皮病、皮下脓肿和脂膜炎,无全身败血症。虽然铜绿假单胞菌感染可能诱发多形性皮肤病变,但这些病变最常出现在败血症后的免疫功能低下患者中。