Pseudomonas aeruginosa as an uncommon agent of infectious panniculitis

Tatiana Mina Yendo1, Cristina de Castro Pante1, Denise Miyamoto1

  • 1Department of Dermatology, Faculty of Medicine, Universidade de São Paulo, São Paulo, SP, Brazil.

Insights

Pseudomonas aeruginosa, a Gram-negative bacillus, can cause panniculitis, a rare skin inflammation. This case highlights a unique instance in an immunosuppressed patient with systemic lupus erythematosus.

Area of Science:

  • Infectious Diseases
  • Dermatology
  • Rheumatology

Background:

  • Pseudomonas aeruginosa is a common Gram-negative bacterium often associated with infections like septicemia and skin wounds.
  • Panniculitis, inflammation of subcutaneous fat, is an uncommon manifestation of P. aeruginosa infection.
  • Cases of P. aeruginosa-induced panniculitis are rare, with no prior documented instances in patients with systemic lupus erythematosus.

Observation:

  • A case of panniculitis caused by Pseudomonas aeruginosa is presented.
  • The patient was immunosuppressed and had a diagnosis of systemic lupus erythematosus.
  • This represents a rare clinical presentation of a known pathogen.

Findings:

  • The study documents a unique case of Pseudomonas aeruginosa panniculitis in an immunosuppressed patient with systemic lupus erythematosus.
  • A review of existing literature was conducted to contextualize this rare presentation.
  • This finding expands the known clinical spectrum of P. aeruginosa infections.

Implications:

  • This case underscores the importance of considering unusual pathogens in immunosuppressed patients with dermatological conditions.
  • It highlights the need for vigilance in diagnosing and managing P. aeruginosa infections, even in atypical presentations like panniculitis.
  • The findings contribute to the understanding of rare infectious complications in patients with autoimmune diseases like systemic lupus erythematosus.

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