Caso clínico de la semana – Infectious Diseases in Children

Infectious Diseases in Children

El caso clínico de la semana aparece en la sección What’s your diagnosis de la página Infectious Diseases in Children

WHAT’S YOUR DIAGNOSIS?

For those budding oncologists out there

Ectima GangrenosumEcthyma gangrenosum also is seen in the immune-compromised, neutropenic patients and possibly in burn patients and classically caused by Pseudomonas aeruginosasepsis. Lesions also begin as inflammatory papules that progress to necrosis, if the patient lives long enough to go through these necrotic changes (Figure 7). If the patient dies early in the course of the infection, the lesion will appear to be inflamed rather than necrotic (Figure 8, from the autopsy of a rapidly fatal case of Pseudomonas sepsis). Ecthyma gangrenosum should be treated with aggressive antipseudomonas antimicrobial therapy.

I know that my comments have been relegated to the History of Medicine blog, but I simply want to acknowledge my sadness upon learning of the death of my friend Mike Marcy, MD, one of the brightest and most collegial people I have ever met. Every time we were together, I laughed and learned a lot. His long and distinguished career is nicely summarized in the Sept. 14 Los Angeles Timesobituary website. If you are looking to be humbled and inspired at the same time, I would recommend reading it.

For more information: James H. Brien, DO, is with the department of infectious diseases at McLane Children’s Hospital, Baylor Scott & White Health, Texas A&M College of Medicine in Temple, Texas. He is also a member of the Infectious Diseases in ChildrenEditorial Board. Brien can be reached at: jhbrien@aol.com.

Disclosure: Brien reports no relevant financial disclosures.
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