Orbital ecthyma gangrenosum in multiple myeloma

Binoy Yohannan; Mark Feldman

doi:10.1080/08998280.2019.1641059

Orbital ecthyma gangrenosum in multiple myeloma

Research output: Contribution to journal › Article › peer-review

Abstract

Ecthyma gangrenosum is a rare and highly lethal cutaneous infection classically associated with Pseudomonas aeruginosa bacteremia. We report a 58-year-old man with multiple myeloma receiving chemotherapy who presented with 2 days of painless left periorbital swelling that rapidly progressed to a blackish eschar. His absolute neutrophil count was 0.10/mm³; platelet count, 14,000/mm³; and hemoglobin, 6 g/dL. Computed tomography showed diffuse left periorbital cellulitis. Blood cultures grew pan-sensitive Pseudomonas aeruginosa, and the patient died from sepsis and multiorgan failure.

Original language	English (US)
Pages (from-to)	593-595
Number of pages	3
Journal	Baylor University Medical Center Proceedings
Volume	32
Issue number	4
DOIs	https://doi.org/10.1080/08998280.2019.1641059
State	Published - Oct 2 2019
Externally published	Yes

Bibliographical note

Publisher Copyright:
© 2019, © 2019 Baylor University Medical Center.

Keywords

Black eschar
ecthyma gangrenosum
Pseudomonas bacteremia
sepsis

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10.1080/08998280.2019.1641059

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abstract = "Ecthyma gangrenosum is a rare and highly lethal cutaneous infection classically associated with Pseudomonas aeruginosa bacteremia. We report a 58-year-old man with multiple myeloma receiving chemotherapy who presented with 2 days of painless left periorbital swelling that rapidly progressed to a blackish eschar. His absolute neutrophil count was 0.10/mm3; platelet count, 14,000/mm3; and hemoglobin, 6 g/dL. Computed tomography showed diffuse left periorbital cellulitis. Blood cultures grew pan-sensitive Pseudomonas aeruginosa, and the patient died from sepsis and multiorgan failure.",

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AB - Ecthyma gangrenosum is a rare and highly lethal cutaneous infection classically associated with Pseudomonas aeruginosa bacteremia. We report a 58-year-old man with multiple myeloma receiving chemotherapy who presented with 2 days of painless left periorbital swelling that rapidly progressed to a blackish eschar. His absolute neutrophil count was 0.10/mm3; platelet count, 14,000/mm3; and hemoglobin, 6 g/dL. Computed tomography showed diffuse left periorbital cellulitis. Blood cultures grew pan-sensitive Pseudomonas aeruginosa, and the patient died from sepsis and multiorgan failure.

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Orbital ecthyma gangrenosum in multiple myeloma

Abstract

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