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Ecthyma Gangrenosum Caused by Streptococcus pyogenes: A Case Report
Kiley B Kirby1, John C Holman1, Moses H Cheng1
1Department of Family Medicine, Naval Hospital Camp Pendleton, Oceanside, CA, USA.
Cureus
|July 23, 2026
Summary
Ecthyma gangrenosum (EG) typically results from Pseudomonas aeruginosa. This case highlights Streptococcus pyogenes as a rare cause of EG-like lesions in an immunocompromised patient, successfully treated with antibiotics and supportive care.
Area of Science:
- Dermatology
- Infectious Diseases
- Vascular Medicine
Background:
- Ecthyma gangrenosum (EG) is a rare infectious vasculitis.
- EG typically presents as skin lesions progressing to black eschars.
- It is most commonly associated with Pseudomonas aeruginosa bacteremia.
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