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Updated: Jun 2, 2026

A Neonatal Imaging Model of Gram-Negative Bacterial Sepsis
Published on: August 12, 2020
Ecthyma gangrenosum secondary to Staphylococcus aureus in an infant with transient neutropenia
Patricia M Pechter1, Robb Marchione, Clara Milikowski
1Department of Dermatology and Cutaneous Surgery, Miller School of Medicine, University of Miami, Miami, Florida 33136, USA. pmpechter@med.miami.edu
Abstract:
Ecthyma gangrenosum is classically a cutaneous manifestation of a pseudomonal septicemia that presents in a patient with an immunodeficiency or hematologic malignancy. We describe a previously healthy 8-month-old girl who developed transient neutropenia and characteristic ecthyma gangrenosum lesions secondary to methicillin-resistant Staphylococcus aureus. This unique presentation of methicillin-resistant Staphylococcus aureus ecthyma gangrenosum emphasizes the importance of broad empiric coverage and early culturing for microorganism and susceptibilities in any patient presenting with ecthyma gangrenosum.
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