Shanghai Fever, a Syndrome Caused by Pseudomonas Aeruginosa, Complicated with Ecthyma Gangrenosum: A Case Report

Abstract

Shanghai fever, first described in 1918, a syndrome was presented as fever, diarrhea, sepsis and culture of Pseudomonas aeruginosa from blood or another sterile body site. Ecthyma gangrenosum, often caused by P. aeruginosa, typically occurs in patients who are immunocompromised, can occasionally affects previously healthy children. We report a 5-month-old previously healthy boy who diagnosed Shanghai fever and presented with fever, productive cough, watery diarrhea and specific skin lesions on his body initially. Diagnosis was confirmed by blood and pus culture. With early and adequate treatment, including aggressive antimicrobial therapy, oxygen and fluid supplement and wound drainage, the patient recovered completely without any further complications.