Ecthyma gangrenosum in a renal transplant recipient

Santos, Begoña; Sanz, Marta; Núñez, Almudena Hernández; Mayor, Lech Onofre; Quiroga, Borja

doi:10.1016/j.nefroe.2016.11.012

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…This skin lesion without bacteremia has been described in heart, kidney, and bone marrow transplant recipients [8][9][10]. It has also been described in neutropenic patients [11].…”

Section: Discussionmentioning

confidence: 84%

A Challenging Cutaneous Lesion in a Patient With Chronic Idiopathic Neutropenia

Gkoufa¹,

Sklapani²,

Τράκας³

et al. 2022

Cureus

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Ecthyma gangrenosum (EG) is an uncommon necrotizing vasculitis that affects mainly immunocompromised and burn patients, and it is frequently associated with Pseudomonas aeruginosa bacteremia. However, cases of EG with other related pathogens and cases of EG affecting immunocompetent hosts have also been described in the literature. Besides, less common cases of EG without bacteremia have been reported. Herein, we describe a rare case of EG due to Pseudomonas aeruginosa without bacteremia in a patient with chronic idiopathic neutropenia (CIN). Considering the high mortality rate associated with EG, early diagnosis and appropriate effective treatment are crucial.

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“…This skin lesion without bacteremia has been described in heart, kidney, and bone marrow transplant recipients [8][9][10]. It has also been described in neutropenic patients [11].…”

Section: Discussionmentioning

confidence: 84%

A Challenging Cutaneous Lesion in a Patient With Chronic Idiopathic Neutropenia

Gkoufa¹,

Sklapani²,

Τράκας³

et al. 2022

Cureus

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“…This case was of particular interest given the presence of both P. aeruginosa and MRSA within the wound but the absence of both in the blood. It is imperative to make an early diagnosis and begin treatment promptly for suspected EG in the SOTRs [36]. Even without associated sepsis, immunosuppressed patients can rapidly develop life-threatening disease [35].…”

Section: Cutaneous Pseudomonal Infectionsmentioning

confidence: 99%

Skin Infections due to Bacteria in Solid Organ Transplant Recipients: A Review

Ilyas¹,

Maganty²,

Ginsberg³

et al. 2017

Dermatology

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Though there is an abundance of information on cutaneous malignancies in transplant recipients, cutaneous infections in solid organ transplant recipients (SOTRs) are underrepresented in the dermatological literature. Our paper provides a comprehensive review of bacterial cutaneous infections within the solid organ transplant population. Cutaneous bacterial infections may lead to significant morbidity and even mortality in this immunosuppressed population. Thus, it is to the benefit of both dermatologists and other transplant care providers to better understand and recognize the features of cutaneous bacterial infections in SOTRs. This paper can aid providers in promptly identifying, diagnosing, and treating bacterial skin infections. This review discusses the diagnosis and treatment of the following bacterial species: Staphylococcus, Streptococcus, Pseudomonas aeruginosa, Escherichia coli, Nocardia, Mycobacteria, and Bartonella henselae.

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Ecthyma gangrenosum without bacteremia in a 54‐year‐old woman with heart transplant

Hamed

Niehaus

Hughes

et al. 2020

Transplant Infectious Dis

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Ecthyma gangrenosum is a cutaneous manifestation of severe systemic pseudomonas infection and is commonly associated with bacteremia. It is common in immunocompromised patients with underlying neutropenia or leukopenia. We report a patient with heart transplant who developed a single lesion of ecthyma gangrenosum in the absence of bacteremia with a review of reported cases in solid organ transplant patients.

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Ecthyma gangrenosum in a renal transplant recipient

Cited by 3 publications

References 7 publications

A Challenging Cutaneous Lesion in a Patient With Chronic Idiopathic Neutropenia

A Challenging Cutaneous Lesion in a Patient With Chronic Idiopathic Neutropenia

Skin Infections due to Bacteria in Solid Organ Transplant Recipients: A Review

Ecthyma gangrenosum without bacteremia in a 54‐year‐old woman with heart transplant

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