Abstract: Dengue fever (DF) is an important public health problem in
developing countries like India, with a high morbidity and mortality. The
clinical spectrum of dengue is highly variable, ranging from a mild flu-like
syndrome to severe disease, with shock and hemorrhage. Concurrent septicemia in
patients with dengue fever is rare and only few cases have been reported. In
previous reports Staphylococcus aureus and Enterobacteriaceae
have been the predominant pathogens; to our knowledge septicemia with
Pseudomonas aeruginosa has not been previously reported. Here, we
report an 8 month old child with P. aeruginosa septicemia with
classical ecthyma gangrenosum in conjunction with DF who was successfully
treated by early commencement of anti-pseudomonal antibiotics.
