Pseudomonas aeruginosa is a motile, aerobic, gram-negative rod that has become a leading infectious agent among patients who were hospitalized and immunocompromised. We report a case of preseptal periorbital cellulitis due to pseudomonas with focal skin necrosis (ecthyma gangrenosum) in a patient with severe immunocompromise. Ecthyma gangrenosum is known to be associated with sepsis and death but is rarely reported as a complication of preseptal cellulitis.
From the Departments of *Internal Medicine, and †Radiology, ‡Infectious Disease Service, and §Hematology-Oncology Service, Department of Medicine, Walter Reed Army Medical Center and ∥Infectious Disease Service, Department of Medicine, National Naval Medical Center, Washington, DC.
Reprints: Edward A. Hulten, MD, MPH, Department of Internal Medicine, Walter Reed Army Medical Center, 6900 Georgia Ave, NW, Washington, DC 20307. E-mail: firstname.lastname@example.org; Anita Shah, DO, Department of Internal Medicine, Walter Reed Army Medical Center, 6900 Georgia Ave, NW, Washington, DC 20307. E-mail: email@example.com.
The views expressed in this paper are those of the authors and do not reflect the official policy of the Department of Army, Department of the Navy, Department of Defense, or US Government.