jofinЖурнал инфектологииJournal Infectology2072-6732IPO “АIDSSPbR"10.22625/2072-6732-2018-10-4-134-138jofin-814Research ArticleКлинический случайClinical CaseГАНГРЕНОЗНАЯ ЭКТИМА – ФАТАЛЬНАЯ ФОРМА СИНЕГНОЙНОЙ ИНФЕКЦИИ У РЕБЕНКА ВОСЬМИ МЕСЯЦЕВEcthyma gangrenosum: fatal form of pseudomonas aeruginosa infection in an eight-month-old infantРымаренкоН. В.RymarenkoN. V.

профессор кафедры педиатрии с курсом детских инфекционных болезнейМедицинской академии им. С.И. Георгиевского, д.м.н.;

тел: +7-978-863-62-33, 8(3652)60-80-22

natadoc@yandex.ruБобрышеваА. В.BobryshevaA. V.

доцент кафедры педиатрии с курсом детских инфекционных болезнейМедицинской академии им. С.И. Георгиевского, к.м.н.;

тел.: +7-978-831-77-07, 8(3652)60-80-22

alona.radost@yandex.ruКрюгерЕ. А.KrjugerE. A.

доцент кафедры педиатрии с курсом детских инфекционных болезнейМедицинской академии им. С.И. Георгиевского, к.м.н.;

тел.: +7-978-721-50-65, 8(3652)60-80-22

elena-krjuger@rambler.ruХалиловЭ. Я.HalilovE. Ya.

ассистент кафедры педиатрии с курсом детских инфекционных болезнейМедицинской академии им. С.И. Георгиевского;

тел.: +7-978-876-73-25, 8(3652) 60-80-22

khalilov.edem@yandex.ruКрымский федеральный университет им. В.И. Вернадского, СимферопольРоссияCrimean Federal University named after V.I. Vernadsky, SimferopolRussian Federation201830122018104134138Copyright © Рымаренко Н.В., Бобрышева А.В., Крюгер Е.А., Халилов Э.Я., 20182018Рымаренко Н.В., Бобрышева А.В., Крюгер Е.А., Халилов Э.Я.Rymarenko N.V., Bobrysheva A.V., Krjuger E.A., Halilov E.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.niidi.ru/jofin/article/view/814

Рассмотрены клинические особенности дебюта и динамики гангренозной эктимы, протекающей с развитием сепсиса у ребенка 8 месяцев. Подробно описаны и представлены на рисунках кожные проявления заболевания в виде плотных геморрагических быстро расширяющихся папул с синюшным ореолом и развивающимся некрозом в центре элементов, с последующим формированием язв или пузырей. Диагноз устанавливался на основании клинических проявлений и высева Pseudomonas aeruginosa из содержимого пузырей и крови. Несмотря на проводимую интенсивную терапию и использование антибактериальных препаратов, обладающих антипсевдомонадной активностью, девочка умерла на 17-й день от момента госпитализации.

The clinical features of the onset and dynamics of ecthyma gangrenosum caused by Pseudomonas aeruginosa with the development of sepsis are observed in an eight-monthold child. The article incudes a detailed description and corresponding photo images of skin manifestations of the disease in the form of solid hemorrhagic fast-growing papules with a cyanotic halo and developing necrosis in the centre of the elements followed by the formation of ulcers or blisters. The diagnosis was made on basis of clinical manifestations and Pseudomonas aeruginosa culture from the contents of the blisters and blood. In spite of being treated intensely and being given antibacterial preparations possessing anti-Pseudomonad activity, the girl died on the 17th day after hospitalization.

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The authors declare that there are no conflicts of interest present.