Korean J Pediatr Infect Dis.  2002 May;9(1):104-109. 10.14776/kjpid.2002.9.1.104.

A Case of Ecthyma Gangrenosum Associated with Liver Abscess and Renal Abscess

• Seo JY
• Kim SY
• Han MY
• Lee KH

• KMID: 2440134
• DOI: http://doi.org/10.14776/kjpid.2002.9.1.104

Abstract

Ecthyma gangrenosum is usually seen in immunocompromised patients, particularly in those with underlying malignant disease. Ecthyma gangrenosum is rapidly progressing skin infection characterized by edema, hemorrhage, bullae and necrosis. We experienced the case of a 13-month-old male who had Ecthyma gangrenosum associated with liver abscess and renal abscess. The patient initially presented with skin lesions of multiple well defined central necrotic black colored large erythematous bullae. The multiple liver abscess with hepatomegaly and multifocal pyelonephritis with focal renal abscess revealed by abdominal ultrasonogram and computed tomogram. In the bacterial cultures of skin, urine and liver aspiration fluid, Pseudomonas aeruginosa was grown. The patient had no immune deficiency disease. We report this case with a review of related literatures.

Keyword

Ecthyma gangrenosum; Liver abscess; Renal abscess

MeSH Terms

Abscess*
Deficiency Diseases
Ecthyma*
Edema
Hemorrhage
Hepatomegaly
Humans
Immunocompromised Host
Infant
Liver Abscess*
Liver*
Male
Necrosis
Pseudomonas aeruginosa
Pyelonephritis
Skin
Ultrasonography