Ecthyma Gangrenosum Skin Lesions in Previously Healthy Children

Neta Cohen 1 Tali Capua 1,2 Efraim Bilavsky 2,3 Hila Dias-Polak 2,3 Dror Levin 2,4 Galia Grisaru-Soen 2,5
1Department of Pediatrics, Dana-Dwek Children’s Hospital, Tel Aviv Sourasky Medical Center.
2Sackler Faculty of Medicine, Tel Aviv University.
3Department of Pediatrics C, Schneider Children’s Medical Center
4Department of Hematology, Dana-Dwek Children’s Hospital, Tel Aviv Sourasky Medical Center
5Pediatric Infectious Disease Unit, Dana-Dwek Children’s Hospital, Tel Aviv Sourasky Medical Center

Ecthyma gangrenosum (EG) is an uncommon skin lesion that usually develops in patients with known immune deficiency or who are on immunosuppressive treatment. We report on five previously healthy children presenting with EG. Three of them developed severe neutropaenia. Immunologic work-up revealed chronic neutropaenia in two.

CONCLUSION:

Recognition of EG is essential for providing early appropriate empiric antibiotic treatment. An immunologic work-up should be done, although a concomitant viral infection can be the predisposing factor









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