Embolus, Septic, Gram Negative Infection, Immunodeficiency, Acquired - DermAtlas

Contributor

Bernard Cohen, MD

Diagnosis

embolus, septic Gram negative infection immunodeficiency, acquired

Body Site

leg knee

Age

13 years

Pigmentation

light

Organization

scattered

Color

red

Morphology

plaqulous (plaque / nodule / tumor)

Pattern

asymmetric generalized, disseminated acral (centripetal - extremity predominant)

Comments

This neutropenic bone marrow transplant patient was evaluated for fever and rash. He had positive blood cultures several days earlier for Gram negative rods, but blood cultures taken the day before evaluation were negative. He was on broad spectrum parenteral antibiotics, but fevers continued to spike to 40 degrees C. Cultures from the skin biopsy also showed Gram negative rods, and the pathology was pending. Although the lesions were widely disseminated, most were aggregated on the extremities.

Description

scattered widespread uniform 3-4 mm minimally tender blanching red papules

Image Added

2/3/2004 16:29:10

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Other Resources

PubMed Medline Plus Medscape

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