Non-Pseudomonal Ecthyma Gangrenosum

  • Leyla Talan Ankara University
  • Arzu Okyar
  • Fügen Yörük
  • N. Defne Altıntas
Keywords: Septic shock, ecthyma gangrenosum, critical illness


Ecthyma gangrenosum (EG) is a cutaneous infection commonly associated with pseudomonal sepsis but may be associated with other infectious agents. We are presenting a woman who developed ecthyma gangrenosum caused by Echerichia coli with septic shock. Septic shock still confers a high mortality rate, especially when diagnosis and therapy is delayed. All foci of infection should be closely inspected. Skin and soft tissue lesions may also be the cause. For treatment success, source control is indispensible and surgical intervention should not be delayed if needed.

Author Biography

Leyla Talan, Ankara University
Department of Internal Medicine Division of Critical Care


Bettens S, Delaere B, Glupczynski Y, et al. Ecthyma gangrenozum in a nonneutropaenic, elderly patient: Case report and review of the literature, Acta Clinica Belgica, 63:6, 394-7

Vaiman M, Lazarovitch T, Heller L, et al. Ecthyma gangrenosum and ecthyma-like lesions: review article. Eur J Clin Microbiol Infect Dis 2015; 34:633–9

Pathak A, Singh P, Yadav Y, et al. BMJ Case Rep 2013. doi:10.1136/bcr-2013-009287

Reich HL, Williams FD, Naik NS, et al. Nonpseudomonal ecthyma gangrenosum. J Am Acad Dermatol 2004; 50(5 Suppl): S114-S7.

Song WK, Kim YC, Park HJ, et al. Ecthyma gangrenosum without bacteraemia in a leukaemic patient. Clin Exp Dermatol 2001; 26: 395–7.