Ecythema gangrenosum in a previously healthy child

Sum mary Ecthyma gangrenosum is a well known cutaneous manifestation of Pseudomonas aeruginosa infections and is usually seen in immunocompromised patients. A previously healthy 5-month-old boy presented to our hospital with a complaint of an open inguinal wound. Physical examination revealed several ulcers surrounded by erythematous halos in bilateral inguinal regions. Pseudomonas aeruginosa was isolated from swab cultures obtained from the ulcers. However, blood cultures were sterile. The patient was diagnosed as non-bacterial ectima gangrenosoum. No immunological abnormality was detected during extensive investigation of the patient. The patient was successfully treated with an anti-pseudomonal antibiotic cefoperazone-sulbactam. (Turk Arch Ped 2013; 48: 68-70)