Published Paper Details:

In order to verify risk factors, clinical, bacteriological and therapeutic characteristics of ecthyma gangrenosum in the pediatric population. We retrospectively reviewed all cases diagnosed with ecthyma gangrenosum from January 2013 to September 2019 at Mohammed VI University Hospital in Marrakech. We report eleven cases (six girls and five boys, aged between 5 days and 15 years). Medical history showed two cases of primary immunodeficiency, a case of acquired immunodeficiency, two cases of malignant hemopathy, a premature newborn, a case with reccurent infections. All patients presented at the emergency department for skin lesions associated with fever. Bacteriology of skin sample isolated Pseudomonas aeroginosa in all cases. All patients received combined antibiotic therapy. Nine patients evolved favorably and two patients died from septic shock. Ecthyma gangrenosum was the presenting manifestation of chronic granulomatous disease in one case. Ecthyma gangrenous is a serious infection, early and appropriate antibioc therapy is primordial to improve the prognosis. Immunological evaluation is recommanded to rule out unkowen immune deficiency.