Echtyma gangrenosum caused by coinfection with group A Streptococcus and Staphylococcus aureus : an emerging etiology? Case reports and literature review

Ecthyma gangrenosum (EG) is a potentially lethal skin infection, most commonly due to with bacteremic dissemination and affecting mostly immunocompromised patients. We present two cases of EG in two men in Belgium recently admitted to our hospital, caused by a suspected coinfection by group A and ,...

Full description

Saved in:
Bibliographic Details
Published in:Acta clinica belgica (English ed. Online) 2021-02, Vol.76 (1), p.53-57
Main Authors: Ulpiano Trillig, Antonio, Miendje Deyi, Véronique Y, Youatou, Pierre, Konopnicki, Deborah
Format: Article
Language:English
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Ecthyma gangrenosum (EG) is a potentially lethal skin infection, most commonly due to with bacteremic dissemination and affecting mostly immunocompromised patients. We present two cases of EG in two men in Belgium recently admitted to our hospital, caused by a suspected coinfection by group A and , with a cutaneous dissemination, in which multiple impetigo lesions were the portal of entry. The first patient had no risk factors nor immunodeficiency, but the second was a homeless man with drug and alcohol abuse and advanced HIV infection. Early management of the condition is crucial, with initial broad spectrum antibiotherapy, rapidly narrowed down to the germs identified and skin lesion debridement if necessary. Any immunocompromising condition must be ruled out in any patient suffering from EG.
ISSN:1784-3286
2295-3337
DOI:10.1080/17843286.2019.1630570