Ecthyma
gangrenosum
(
EG
)
is
____________________
well
-
recognized
but
uncommon
cutaneous
infection
classically
associated
with
Pseudomonas
aeruginosa
bacteremia
.
EG
usually
occurs
____________________
patients
who
____________________
critically
ill
and
immunocompromised
;
____________________
is
almost
always
a
sign
of
pseudomonal
sepsis
.
Rarely
,
other
bacteria
,
including
Proteus
species
,
Escherichia
coli
,
and
methicillin
-
resistant
Staphylococcus
epidermidis
,
have
been
implicated
in
similar
lesions
.
The
characteristic
lesions
of
EG
are
hemorrhagic
vesicles
or
pustules
that
evolve
into
necrotic
ulcers
with
a
tender
erythematous
border
.
EG
was
first
described
in
association
with
Pseudomonas
septicemia
____________________
Barker
in
1897
____________________
was
later
given
____________________
name
"
ecthyma
gangrenosum
"
____________________
Hitschmann
and
Kreibich
.
Not
all
cases
have
been
associated
with
sepsis
.
