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Frontiers of Medicine

ISSN 2095-0217

ISSN 2095-0225(Online)

CN 11-5983/R

Postal Subscription Code 80-967

2018 Impact Factor: 1.847

Front. Med.    2016, Vol. 10 Issue (1) : 101-103     DOI: 10.1007/s11684-016-0437-z
CASE REPORT |
Ecthyma gangrenosum of the scrotum: a case report
Wei Phin Tan(),Benjamin A. Sherer,Jerome Hoeksema
Department of Urology, Rush University Medical Center, Chicago, IL 60612, USA
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Abstract  

A 43-year-old man with pancytopenia from chemotherapy for acute myeloid leukemia developed left scrotal pain, fever, and rigors. Physical exam revealed an ulcerating lesion with central necrosis and eschar surrounded by a halo of erythema on the inferior aspect of the left scrotum. The condition indicated an early necrotizing soft tissue infection. The patient was started on broad-spectrum antibiotics and taken to the operating room for a wound debridement. Blood and tissue cultures grew Pseudomonas aeruginosa, which confirmed the diagnosis of ecthyma gangrenosum of the scrotum. The fever resolved, and the wound healed without further progression after wet to dry dressing changes.

Keywords ecthyma gangrenosum      scrotum      genitalia     
Corresponding Authors: Wei Phin Tan   
Just Accepted Date: 18 February 2016   Online First Date: 16 March 2016    Issue Date: 31 March 2016
URL:  
http://academic.hep.com.cn/fmd/EN/10.1007/s11684-016-0437-z     OR     http://academic.hep.com.cn/fmd/EN/Y2016/V10/I1/101
Fig.1  Ecthyma gangrenosum of the scrotum. A necrotic center with a halo of erythema caused by the infarction of blood vessels from Pseudomonas aeruginosa (the purple line around the erythema depicts the margin of inflammation marked with a marking pen).
Fig.2  Ecthyma gangrenosum of the scrotum. A necrotic center with a halo of erythema caused by the infarction of blood vessels from Pseudomonas aeruginosa.
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