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April 1960, Vol 99, No. 4 >
Article | April 1960

Ecthyma Gangrenosum in Pseudomonas Septicemia FREE

R. W. HEFFNER, M.D.; G. F. SMITH, M.D.
[+] Author Affiliations

Submitted for publication May 25, 1959.

Address: Jackson Memorial Hospital (36).


AMA Am J Dis Child. 1960;99(4):524-528. doi:10.1001/archpedi.1960.02070030526015.
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Comments

We are reporting two cases of Pseudomonas septicemia because of the characteristic skin lesions which enable therapy to begin early. The seriousness of Pseudomonas septicemia is so great as to warrant early antimicrobial therapy even before the cultures are reported. The apparent increased incidence of Pseudomonas septicemia also stresses the importance of recognizing these skin lesions. Except when characteristic skin lesions are present, the clinical picture of Pseudomonas sepsis may not differ from that produced by a variety of organisms, and the diagnosis must be based on culturing the bacillus from the blood. The disease may be accompanied by chills, fever, prostration, petechial skin lesions, jaundice,

REFERENCES

1 +
Hitschmann, F., and Kreibick, K.:  Zur Pathogenese des Bacillus Pyocyaneus and zur Aetiologic des Ecthyma Gangrenosum , Wien. Klin. Wchnschr. 10:1093, 1897;.
2 +
Barber, L. F.:  The Clinical Symptoms, Bacteriologic Findings and Postmortem Appearance in Cases of Infection of Human Beings with the Bacillus Pyocyaneus , J.A.M.A. 29:213-216, 1897;.
3 +
Fraenkel, E.:  Weitere Untersuchungen über die menschen Pathogenetat des Bacillus Pyocyaneus , Ztschr. Hyg. 84:369-423, 1917;.
4 +
Markley, K.; Gurmend, G.; Chavez, P. M., and Bazan, A.:  Fatal Pseudomonas Septicemia in Burned Patients , Ann. Surg. 145:175-181, 1957;.
5 +
Kohlenbrener, R. M.; Boehm, J. J., and Falk, A. B.:  Pyoderma Gangrenosum , A.M.A.J. Dis. Child. 96:741-743, 1958;.
6 +
Stanley, M. M.:  Bacillus Pyocyaneus Infections , Am. J. Med. 2:253-277, 1947;.
7 +
Hubbard, J. D.; King, H., and Beamer, P. R.:  The Pathogenicity of Pseudomonas Aeruginosa (Bacillus Pyocyaneus) , Am. J. Clin. Path. 28: 243-257, 1957;.
8 +
Geppert, L. G.; Baker, H. J.; Copple, B. I., and Pulaski, E. J.:  Pseudomonas Infection in Infants and Children , J. Pediat. 41:555-571, 1952;.
9 +
Wright, S. S.; Potee, K. G., and Finland, M.:  Susceptibility of Pseudomonas to 10 Antibiotics in Vitro: Some Properties of Recently Isolated Strains , Am. J. Clin. Path. 24:1121-1132, 1954;.
10 +
Jawetz, E.:  Infections with Pseudomonas Aeruginosa Treated with Polymyxin B , A.M.A. Arch. Int. Med. 89:90-98, 1952;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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References

1 +
Hitschmann, F., and Kreibick, K.:  Zur Pathogenese des Bacillus Pyocyaneus and zur Aetiologic des Ecthyma Gangrenosum , Wien. Klin. Wchnschr. 10:1093, 1897;.
2 +
Barber, L. F.:  The Clinical Symptoms, Bacteriologic Findings and Postmortem Appearance in Cases of Infection of Human Beings with the Bacillus Pyocyaneus , J.A.M.A. 29:213-216, 1897;.
3 +
Fraenkel, E.:  Weitere Untersuchungen über die menschen Pathogenetat des Bacillus Pyocyaneus , Ztschr. Hyg. 84:369-423, 1917;.
4 +
Markley, K.; Gurmend, G.; Chavez, P. M., and Bazan, A.:  Fatal Pseudomonas Septicemia in Burned Patients , Ann. Surg. 145:175-181, 1957;.
5 +
Kohlenbrener, R. M.; Boehm, J. J., and Falk, A. B.:  Pyoderma Gangrenosum , A.M.A.J. Dis. Child. 96:741-743, 1958;.
6 +
Stanley, M. M.:  Bacillus Pyocyaneus Infections , Am. J. Med. 2:253-277, 1947;.
7 +
Hubbard, J. D.; King, H., and Beamer, P. R.:  The Pathogenicity of Pseudomonas Aeruginosa (Bacillus Pyocyaneus) , Am. J. Clin. Path. 28: 243-257, 1957;.
8 +
Geppert, L. G.; Baker, H. J.; Copple, B. I., and Pulaski, E. J.:  Pseudomonas Infection in Infants and Children , J. Pediat. 41:555-571, 1952;.
9 +
Wright, S. S.; Potee, K. G., and Finland, M.:  Susceptibility of Pseudomonas to 10 Antibiotics in Vitro: Some Properties of Recently Isolated Strains , Am. J. Clin. Path. 24:1121-1132, 1954;.
10 +
Jawetz, E.:  Infections with Pseudomonas Aeruginosa Treated with Polymyxin B , A.M.A. Arch. Int. Med. 89:90-98, 1952;.

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