A characteristic vasculitis is an uncommon but well-recognized complic
ation of severe Pseudomonas aeruginosa infection in the neonate, Altho
ugh it is one of the most common gram-negative organisms responsible f
or overall nosocomial infection, it is a rare cause of intrauterine or
intrapartum infection of the newborn. We describe a fatal Pseudomonas
aeruginosa infection occurring in a very premature infant with widesp
read skin necrosis, Although this organism is relatively uncommon in t
he neonate, premature infants are at increased risk of infection, with
a significant associated mortality. Early recognition and treatment a
re therefore very important.