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Images in paediatrics
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. 1 Department of Woman and Child Health, Medical School, University of Padua, Padova, Italy
  2. 2 Pediatric 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

http://dx.doi.org/10.1136/archdischild-2014-306852

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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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    Footnotes

    • Contributors All Authors listed in this paper gave substantial contributions to the conception or design of the work, or the acquisition, analysis or interpretation of data.

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.