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December 1958

Pyoderma GangrenosumPseudomonas Infection Versus the Shwartzman Phenomenon

AMA Am J Dis Child. 1958;96(6):741-743. doi:10.1001/archpedi.1958.02060060743017

Acute necrosis of the skin occurs rarely in infants. Previous reports concerning this condition have emphasized bacterial infection as a primary cause. Very little attention has been given to the Shwartzman phenomenon as an etiologic factor. Our interest in this problem was stimulated by an infant we recently cared for at the Children's Memorial Hospital.

Report of Case  A 7-week-old American Indian girl was admitted to the hospital on Sept. 3, 1957, because of purulent drainage from both ears and a rash. She had been sick for eight days with a fever and cough. The cough had subsided before admission. Five days after the onset of the illness she developed a rash which involved only the face and then spread over the trunk and extremities. She received no medication before hospitalization.She was the product of a normal pregnancy and delivery. Her birth weight was 7 lb. 6 oz. Her