Ecthyma gangrenosum caused by Klebsiella pneumoniae and Streptococcus vestibularis in a patient with acute myeloid leukemia: an emerging pathogen

Author(s):  
Dimitra Koumaki ◽  
Vasiliki Koumaki ◽  
Alexander C. Katoulis ◽  
Dimitrios Gerontitis ◽  
Irini Xilouri ◽  
...  
Author(s):  
Masoud Mardani ◽  
Rozita Khodashahi ◽  
Ensieh Lotfali ◽  
Sara Abolghasemi ◽  
Mojhde Hakemi-vala

Background and Purpose: Fusarium species is an opportunistic mold that causes disseminated infections in immunocompromised patients. Given the high mortality rate of this infection, it is important to make a definite diagnosis when encountering suspected cases.Case report: Herein, we presented a 35-year-old man diagnosed with acute myeloid leukemia with a prolonged febrile neutropenic period and ecthyma gangrenosum-like lesions, along with fungemia and disseminated fusariosis. The patient died despite receiving combination therapy, perhaps due to the nonrecovery of neutrophil.Conclusion: Ecthyma gangrenosum-like lesions due to disseminated fusariosis might be easily misdiagnosed. Consequently, more attention should be paid to the cutaneous lesions in immunocompromised patients.


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