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건강하던 12개월 여아에서 발생한 호중구감소증을 동반한 괴저성농창 1예와 문헌고찰

Ecthyma gangrenosum and agranulocytosis in a previously healthy 12-month-old girl: Report of 1 case with a literature review

  • 윤지수 (순천향대학교 의과대학 소아과학교실) ;
  • 김동현 (순천향대학교 의과대학 소아과학교실) ;
  • 이승주 (순천향대학교 의과대학 소아과학교실) ;
  • 방현호 (순천향대학교 의과대학 소아과학교실) ;
  • 배선미 (순천향대학교 의과대학 소아과학교실) ;
  • 박경배 (순천향대학교 의과대학 소아과학교실) ;
  • 이성열 (순천향대학교 의과대학 피부과학교실) ;
  • 정기진 (순천향대학교 의과대학 정형외과학교실) ;
  • 최영진 (순천향대학교 의과대학 진단검사의학교실) ;
  • 이현정 (순천향대학교 의과대학 응급의학교실) ;
  • 박준수 (순천향대학교 의과대학 소아과학교실)
  • Yoon, Ji Soo (Department of Pediatrics, Soonchunhyang Unversity College of Medicine) ;
  • Kim, Dong Hyun (Department of Pediatrics, Soonchunhyang Unversity College of Medicine) ;
  • Lee, Seung Ju (Department of Pediatrics, Soonchunhyang Unversity College of Medicine) ;
  • Bang, Hyun Ho (Department of Pediatrics, Soonchunhyang Unversity College of Medicine) ;
  • Bae, Sun Mi (Department of Pediatrics, Soonchunhyang Unversity College of Medicine) ;
  • Park, Kyeong Bae (Department of Pediatrics, Soonchunhyang Unversity College of Medicine) ;
  • Lee, Sung Yul (Department of Dermatology, Soonchunhyang Unversity College of Medicine) ;
  • Jung, Ki Jin (Department of Orthopedic Surgery, Soonchunhyang Unversity College of Medicine) ;
  • Choi, Young Jin (Department of Clinical Laboratory Medicine, Soonchunhyang Unversity College of Medicine) ;
  • Lee, Hyun Jung (Department of Emergency Medicine, Soonchunhyang Unversity College of Medicine) ;
  • Park, Joon Soo (Department of Pediatrics, Soonchunhyang Unversity College of Medicine)
  • 투고 : 2017.10.26
  • 심사 : 2018.01.16
  • 발행 : 2018.07.31

초록

Ecthyma gangrenosum (EG) is a rare skin manifestation which starts with a maculopapular eruption and followed by a necrotic ulcer covered with black eschar. EG usually occurs in immunosuppressed patients with Pseudomonas aeruginosa sepsis. We present a previously healthy 12-month-old girl with EG by P. aeruginosa and agranulocytosis due to influenza A and then rhinovirus infection, without bacteremia. It is important for allergists to culture wound and differentiate EG from other skin disorders including Tsutsugamushi disease and initiate appropriate empiric antipseudomonal antibiotic treatment, and to evaluate for possible immunodeficiency, even in a healthy child.

키워드

참고문헌

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