Introduction: Ecthyma gangrenosum is known as a characteristic lesion of Pseudomonas aeruginosa sepsis and is usually seen in immunocompromised patients. Case presentation: A previously healthy 63-year-old man was admitted with sloughy necrotic ulcerations of the skin over his sternum. He was afebrile and in good condition. A skin biopsy revealed ecthyma gangrenosum. Blood cultures remained sterile, but a culture of biopsy material grew Pseudomonas aeruginosa. Conclusion: Ecthyma gangrenosum may develop even in the absence of bacteremia and even in immunocompetent patients. It should be considered as a possible diagnosis even when a previously healthy patient has negative blood cultures. © 2008 Gençer et al; licensee BioMed Central Ltd.
Gençer, S., Özer, S., Ege Gül, A., Doǧan, M., & Ak, Ö. (2008). Ecthyma gangrenosum without bacteremia in a previously healthy man: A case report. Journal of Medical Case Reports, 2. https://doi.org/10.1186/1752-1947-2-14