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J Pediatr Intensive Care 2021; 10(02): 148-151
DOI: 10.1055/s-0040-1710001
Case Report

Pseudomonas Aeruginosa Sepsis in a Previously Healthy Infant with Subcutaneous Nodules and Mastoid Bone Destruction

Ebru Azapağası
1   Division of Pediatric Intensive Care Unit, Dr. Sami Ulus Maternity and Children's Training and Research Hospital, Ankara, Turkey
,
Fatma Nur Öz
2   Division of Pediatric Infectious Diseases, Dr. Sami Ulus Maternity and Children's Training and Research Hospital, Ankara, Turkey
,
Mutlu Uysal Yazıcı
1   Division of Pediatric Intensive Care Unit, Dr. Sami Ulus Maternity and Children's Training and Research Hospital, Ankara, Turkey
,
Dilara Ceylan
3   Department of Pediatrics, Dr. Sami Ulus Maternity and Children's Training and Research Hospital, Ankara, Turkey
,
Emre Ocak
4   Department of Otolaryngology, Ankara University School of Medicine, Ankara, Turkey
,
Yasemin Taşçı Yıldız
5   Department of Radiology, Dr. Sami Ulus Children's Health and Diseases Training and Research Hospital, Ankara, Turkey
,
Caner Aytekin
6   Division of Pediatric Immunology Diseases, Dr. Sami Ulus Maternity and Children's Training and Research Hospital, Ankara, Turkey
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Abstract

Pseudomonas aeruginosa septicemia is rare in previously healthy children. Skin lesions such as subcutaneous nodules and ecthyma gangrenosum may be the first manifestation of Pseudomonas infection that have rarely been reported. Herein we reported a previously healthy 6-month-old boy patient who presented with suppurative otitis media, multiple nodules, septic shock, and P. aeruginosa was identified in cultures of the blood, skin lesions, and purulent material of his ears.

Keywords

ecthyma gangrenosum - healthy infant - mastoid bone - Pseudomonas aeruginosa - subcutaneous nodules

Ethical Approval

Informed consent was received from the family for using patient's medical records and photos.




Publication History

Received: 02 February 2020

Accepted: 30 March 2020

Article published online:
08 May 2020

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
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