Ecthyma Gangrenosum without Pseudomonas Bacteraemia in an Immunocompetent Healthy Adult

Pseudomonas aeruginosa may be presented with mild cutaneous infections in healthy persons like a toe web infections, hot tub folliculitis, however, in persons with lowered resistance, more severe infections such as malignant otitis externa and necrotizing fasciitis are observed [1]. Ecthyma gangrenosum (EG), the characteristic skin symptom of Pseudomonas septicemia, occurs in debilitated or in immunocompromised patients [2, 3]. There are isolated reports of its occurrence in normal healthy individuals with no evidence of bacteremia