<i>Pseudomonas aeruginosa</i> as an uncommon agent of infectious panniculitis

Yendo, Tatiana Mina; Pante, Cristina de Castro; Miyamoto, Denise

doi:10.1016/j.abd.2020.09.018

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Sumário

Case Report • An. Bras. Dermatol. 97 (3) • May-Jun 2022 • https://doi.org/10.1016/j.abd.2020.09.018 copy

Pseudomonas aeruginosa as an uncommon agent of infectious panniculitis^⋆ ⋆ Study conducted at the Department of Dermatology, Faculty of Medicine, Universidade de São Paulo, São Paulo, SP, Brazil.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Pseudomonas aeruginosa is a Gram-negative bacillus that frequently causes septicemia, abscesses and infections in skin wounds. Panniculitis caused by this microorganism is unusual and there are few well-documented cases, none of them in a patient with systemic lupus erythematosus. The present report describes an immunosuppressed patient with systemic lupus erythematosus who developed panniculitis caused by Pseudomonas aeruginosa, with a review of the literature on this rare presentation.

Keywords
Lupus erythematosus, cutaneous; Panniculitis; Pseudomonas aeruginosa

Source, year	Age, sex	Dermatological examination	Associated symptoms	Personal history	Anatomopathological examination	Skin culture	Blood culture	Treatment	Outcome
Roriz et al., 2014	80, F	Multiple ulcers on the right lateral malleolus, inflammatory nodules on the left thigh.	Absent	Type I DM, venous insufficiency, CKD	Neutrophilic lobular panniculitis without vasculitis	P. aeruginosa	Negative	Ciprofloxacin P.O.	Resolution
Roriz et al., 2014	50, M	Inflammatory nodules on the left lower limb with ulcers secondary to necrotic purpura	Unknown	Type I DM, obesity, pulmonary hypertension and dilated cardiomyopathy	Neutrophilic lobular and septal panniculitis	P. aeruginosa	Unknown	Ciprofloxacin P.O.	Resolution
Roriz et al., 2014	70, F	Ulcer on the right lower limb	Unknown	HBV cirrhosis, cardiopathy, venous insufficiency	Lobular and septal panniculitis with intense neutrophilic infiltrate	P. aeruginosa	Negative	Ceftazidime and Amikacin IV	Death from liver complications
Penz et al., 2010	72, F	Ulcers on the right lower limb and nodule on the right thigh	Fever	DM, arterial and venous insufficiency, obesity, SAH, HF and CVA	Lobular panniculitis	P. aeruginosa	Negative	Cilastatin sodium, imipenem, vancomycin and ciprofloxacin IV	Resolution
Moyano et al., 2011	63, F	Erythematous nodules, some with pustules on the surface	Fever, cough and poor overall status	Microinvasive ductal carcinoma, undergoing CT (cyclophosphamide, adriamycin and docetaxel)	Neutrophilic lobular panniculitis, with abscess and hemorrhage	P. aeruginosa	P. aeruginosa	Unknown	Unknown
Bagel et al., 1986	56, F	Erythematous subcutaneous nodules, pustules, and hemorrhagic blisters on the extremities	Fever and altered mental status	Metastatic ovarian carcinoma, undergoing CT (cisplatin, cytoxan and adriamycin)	Dense neutrophilic infiltrate in the subcutaneous tissue	P. aeruginosa	P. aeruginosa	Ticarcillin and Tobramycin IV	Resolution

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[1] ∗Corresponding author. E-mail:tatiana.yendo@hc.fm.usp.br (T.M. Yendo).

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Pseudomonas aeruginosa as an uncommon agent of infectious panniculitis⋆ ⋆ Study conducted at the Department of Dermatology, Faculty of Medicine, Universidade de São Paulo, São Paulo, SP, Brazil.

Abstract

Pseudomonas aeruginosa as an uncommon agent of infectious panniculitis^⋆ ⋆ Study conducted at the Department of Dermatology, Faculty of Medicine, Universidade de São Paulo, São Paulo, SP, Brazil.