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Image Number 2475 (Ecthyma gangrenosum)


Diagnosis: Ecthyma gangrenosum

Site: Groin infant

Sex: F

Age: 1


Description: Necrotic ulcers.

Submitted by: Nameer Al-Sudany

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Differential Diagnosis


A less than one year old infant presented with two punched out ulcers with central necrotic crusts on a background of inflammatory erythema involved the thigh and suprapubic region of 5-7 days duration. Swab for culture yielded pseudomonas aeruginoa with negative blood culture. She responded well to i.v antipseudomonal antibiotic for two weeks. 

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