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Ecthyma gangrenosum of the scrotum: a case report
Wei Phin Tan,Benjamin A. Sherer,Jerome Hoeksema
Frontiers of Medicine 2016, Volume 10, Issue 1, Pages 101-103 doi: 10.1007/s11684-016-0437-z
A 43-year-old man with pancytopenia from chemotherapy for acute myeloid leukemia developed left scrotal pain, fever, and rigors. Physical exam revealed an ulcerating lesion with central necrosis and eschar surrounded by a halo of erythema on the inferior aspect of the left scrotum. The condition indicated an early necrotizing soft tissue infection. The patient was started on broad-spectrum antibiotics and taken to the operating room for a wound debridement. Blood and tissue cultures grew Pseudomonas aeruginosa, which confirmed the diagnosis of ecthyma gangrenosum of the scrotum. The fever resolved, and the wound healed without further progression after wet to dry dressing changes.
Keywords： ecthyma gangrenosum scrotum genitalia
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