Ecthyma gangrenosum mimicking acute invasive fungal sinusitis in an immunocompromised patient

May 31, 2010 by Adrianna M. Hekiert, MD, Michael B. Cohen, MD, Kathleen T. Montone, MD, James N. Palmer, MD, and Satish Govindaraj, MD
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Abstract

Ecthyma gangrenosum is a rare necrotizing cutaneous infection usually caused by Pseudomonas aeruginosa. We report a case of ecthyma gangrenosum presenting as a sinonasal eschar and mimicking acute invasive fungal sinusitis in an immunocompromised 39-year-old man with a hematologic malignancy. To the best of our knowledge, this represents the first case of ecthyma gangrenosum affecting the sinonasal mucosa to be reported in the literature.

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