Ecthyma Gangrenosum Mimicking Acute Invasive Fungal Sinusitis in an Immunocompromised Patient

Hekiert, Dr. Adrianna M. MD
Cohen, Dr. Michael B. MD
Montone, Dr. Kathleen T. MD
Palmer, James N. MD
Govindaraj, Dr. Satish MD

From the Department of Otorhinolaryngology-Head and Neck Surgery
Department of Pathology and Laboratory Medicine
University of Pennsylvania School of Medicine, Philadelphia; the Department of Otolaryngology-Head & Neck Surgery, Boston University School of Medicine
Department of Otolaryngology, Mount Sinai Medical Center, New York City.

ENT and Allergy Associates, LLP, 56 Union Ave., Somerville, NJ 08876. E-mail: [email protected]

Ear, Nose & Throat Journal 89(6):p 262-267, June 2010. | DOI: 10.1177/014556131008900608

Ecthyma gangrenosum is a rare necrotizing cutaneous infection usually caused by Pseudomonas aeruginosa. We report a case of ecthyma gangrenosum presenting as a sinonasal eschar and mimicking acute invasive fungal sinusitis in an immunocompromised 39-year-old man with a hematologic malignancy To the best of our knowledge, this represents the first case of ecthyma gangrenosum affecting the sinonasal mucosa to he reported in the literature.