{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T03:26:33Z","timestamp":1791429993491,"version":"4.3.3"},"reference-count":4,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Ecthyma gangrenosum (EG) is a cutaneous manifestation of invasive infection usually caused by <jats:italic>pseudomonas<\/jats:italic>, but can be caused by many bacteria, fungal and viral infections. We present the first reported case of EG caused by invasive <jats:italic>Escherichia coli<\/jats:italic> in a neonate. A neonate presented with evidence of sepsis and a rapidly evolving 3\u00d73.5\u2005cm<jats:sup>2<\/jats:sup> well-circumscribed haemorrhagic and necrotic ulcer on the left groin. There was evidence of decreased perfusion of the lower limb owing to pressure effect of the ulcer. The child responded well to anticoagulation and antibiotic therapy. It is crucial to clinically suspect EG and promptly start empiric antibiotic therapy covering <jats:italic>pseudomonas<\/jats:italic> to decrease the morbidity and mortality. However, other viruses, fungus and bacteria including <jats:italic>E coli<\/jats:italic> should also be considered in the differential diagnosis of EG in a neonate.<\/jats:p>","DOI":"10.1136\/bcr-2013-009287","type":"journal-article","created":{"date-parts":[[2013,5,28]],"date-time":"2013-05-28T00:06:46Z","timestamp":1369699606000},"page":"bcr2013009287","source":"Crossref","is-referenced-by-count":13,"title":["Ecthyma gangrenosum in a neonate: not always <i>pseudomonas<\/i>"],"prefix":"10.1136","volume":"2013","author":[{"given":"Ashish","family":"Pathak","sequence":"first","affiliation":[{"name":"Department of Pediatrics, RD Gardi Medical College, Ujjain, Madhya Pradesh, India"},{"name":"Department of Public Health Sciences, Global Health (IHCAR), Stockholm, Solna, Sweden"},{"name":"Department of Women and Children's Health, International Maternal and Child Health Unit, Uppsala University, Uppsala, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Poonam","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, RD Gardi Medical College, Ujjain, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yogendra","family":"Yadav","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, RD Gardi Medical College, Ujjain, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mamta","family":"Dhaneria","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, RD Gardi Medical College, Ujjain, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2013,5,27]]},"reference":[{"key":"2025082802283195000_2013.may27_1.bcr2013009287.1","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1001\/archinte.1987.00370020117047","article-title":"Ecthyma gangrenosum without bacteremia. Report of six cases and review of the literature","volume":"2013","author":"Huminer","year":"1987","journal-title":"Arch Intern Med"},{"key":"2025082802283195000_2013.may27_1.bcr2013009287.2","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1053\/sper.2002.36266","article-title":"Pseudomonas aeruginosa infections in the neonatal intensive care unit","volume":"2013","author":"Foca","year":"2002","journal-title":"Semin Perinatol"},{"key":"2025082802283195000_2013.may27_1.bcr2013009287.3","first-page":"261","article-title":"Ecthyma gangrenosum caused by Escherichia coli bacteremia: a case report and review of the literature","volume":"2013","author":"Patel","year":"2009","journal-title":"Cutis"},{"key":"2025082802283195000_2013.may27_1.bcr2013009287.4","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1001\/archinte.1971.00310220099014","article-title":"Pseudomonas septicemia. Illustrated evolution of its skin lesion","volume":"2013","author":"Dorff","year":"1971","journal-title":"Arch Intern Med"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-009287","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:28:39Z","timestamp":1756373319000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-009287"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,5,27]]},"references-count":4,"alternative-id":["10.1136\/bcr-2013-009287"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-009287","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,5,27]]}}}