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Ecthyma Gangrenosum Due to Streptococcus pyogenes Infection in a Previously Healthy Child

Bayhan, Gulsum Iclal MD*; Tanr, Gonul; Oz, Fatma Nur MD*; Ertan, Ulker MD

Infectious Diseases in Clinical Practice: July 2012 - Volume 20 - Issue 4 - p 287–288
doi: 10.1097/IPC.0b013e318248f10e
Case Reports

Abstract: Ecthyma gangrenosum (EG) is a rare cutaneous infection that typically develops in patients with chronic diseases and immunodeficiencies; however, it has been reported rarely in previously healthy children. Although Pseudomonas aeruginosa is the most common pathogen responsible for EG, it was also described in cases of infections by group A streptococcus, Aeromonas hydrophila, Staphylococcus aureus, Citrobacter freundii, and Escherichia coli. We report EG lesions caused by Streptococcus pyogenes in a previously healthy child.

Ecthyma gangrenosum (EG) is a rare cutaneous infection which typically develops in patients with chronic diseases and immunodeficiencies; however, rarely has it been reported in previously healthy children. Although Pseudomonas aeruginosa is the most common pathogen responsible for EG, it was described in cases of infections by Group A Streptococcus, Aeromonas hydrophila, Staphylococcus aureus, Citrobacter freundii and Escherichia coli. Bayhan et al. report EG lesions which was caused by Streptococcus pyogenes in a previously healthy child.

From the *Pediatric Infectious Diseases, and †General Pediatrics, Dr Sami Ulus Maternity and Children’s Health Education and Research Hospital, Ankara, Turkey.

Correspondence to: Gulsum Iclal Bayhan, MD, Pediatric Infectious Disease, Dr Sami Ulus Maternity and Children’s Health Education and Research Hospital, Ankara, Turkey. E-mail: gibayhan@gmail.com.

The authors have no funding or conflicts of interest to disclose.

© 2012 Lippincott Williams & Wilkins, Inc.