COMMUNITY-ACQUIRED PSEUDOMONAS-AERUGINOSA INFECTION IN AN INFANT

A 7-month-old infant presented at a tertiary centre with a B-day histo ry of a skin rash, fever and diarrhoea. Clinical features included pyr exia, kwashiorkor, extensive ulcerating skin lesions suggestive of ect hyma gangrenosum, hepatomegaly, meningismus, neutropenia and iron defi ciency anaemia. Blood and skin aspirate cultures yielded a positive gr owth of Pseudomonas aeruginosa. Apart from severe protein energy malnu trition, no other causes of immunodeficiency were found. He responded well to parenteral antibiotic therapy with gentamicin and piperacillin .