Painful red nodules of the legs: A manifestation of chronic infection with gram-negative organisms - 07/09/11
Abstract |
Skin infection secondary to gram-negative organisms is uncommon and is typically limited to persons who are immunocompromised. When these do occur, they are acute, progressive, and severe. Here we report 2 cases of painful red nodules that presented with a waxing and waning course over a long period. One case is that of a 45-year-old healthy white man who developed Serratia marcescens infection in 1 leg. The other case is that of a 78-year-old man with chronic lymphocytic leukemia treated with prednisone who developed infection of the leg secondary to Pseudomonas aeruginosa. In the first case, symptoms were present for 2 years before definitive diagnosis and treatment. In the second case, 4 months elapsed. Ultimately, both patients responded to antibiotic therapy and recovered. These cases illustrate an unusual presentation of chronic red painful nodules of the leg secondary to infection with gram-negative organisms and underscore the importance of culture even when infection seems unlikely. (J Am Acad Dermatol 1999;40:319-21.)
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This supplement is made possible through an educational grant from Ortho Dermatological to the American Academy of Dermatology. |
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From the Department of Dermatology, University of Pennsylvania. |
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Reprint requests to: William D. James, MD, Department of Dermatology, 2 Maloney Building, Hospital of the University of Pennsylvania, 3600 Spruce St, Philadelphia, PA 19104. E-mail: jamesw@mail.med.upenn.edu |
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0190-9622/99/$8.00 + 0 16/4/97654 |
Vol 41 - N° 2S
P. 319-321 - août 1999 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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