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Ecthyma gangrenosum of the cheek in a 6-month-old infant
  1. Giada Biddeci1,
  2. Mario Cutrone2,
  3. Ilaria Mattei2,
  4. Enrico Valerio1,
  5. Francesca Favot2
  1. 1Department of Woman and Child Health, Medical School, University of Padua, Padova, Italy
  2. 2Pediatric Dermatology Unit, “Ospedale Dell'Angelo”, Mestre, Venezia, Italy
  1. Correspondence to Dr Enrico Valerio, Department of Woman and Child Health, Medical School, University of Padua, Via Giustiniani, 3, Padova 35128, Italy; enrico.valerio.md{at}gmail.com, enrico.va{at}inwind.it

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A previously healthy, immunocompetent 6-month-old girl presented with a 4-day history of fever and a deep, blackish eschar surrounded by extended ulceration and erythema on her right cheek (figure 1), rapidly evolved despite initial treatment with a Calendula and Gentamicin homeopathic ointment.

Figure 1

Exudating deep, blackish eschar surrounded by extended ulceration and erythema, as seen at admission.

She had not received antibiotics previously.

Blood tests at admission showed leukocytosis (white blood cells 10 640/mm3, reference range 6000–17 500/mm3) with normal neutrophil count (N …

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