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Pseudomonas Aeruginosa—Contaminant or Pathogen?

Pseudomonas Aeruginosa—Contaminant or Pathogen? Abstract When Pseudomonas aeruginosa is cultured from the blood or from the sputum in sufficient number, there is seldom any hesitancy in attributing the concurrent septicemia or pneumonia to this organism. In those areas accessible to air-borne contaminants, it has been accepted as the causative agent in certain cases of external otitis and in paronychial infection accompanied by blue-black nails1 (Fig. 1) and as a secondary invader of burns. Paradoxically, it is almost never accepted as a pathogen in other lesions of skin from which it is cultured. The occurrence of skin lesions from which Pseudomonas can be cultured during the course of Pseudomonas septicemia lends credence to the belief that this organism may be a pathogen in glabrous skin. This occurrence is well documented by Forkner, Frei, Edgcomb, and Utz,2 who classify the skin lesions occurring during Pseudomonas septicemia as follows: Ecthyma gangrenosa. These were round, indurated, ulcerated areas with References 1. This case is reprinted from the German literature with the permission of Zeitschrift für Haut- und Geschlechtskrankheiten and of the author, Professor Hasselmann,4 of Erlangen, Germany. 2. Bauer, M. F., and Cohen, H.: The Role of Pseudomonas in Infections About the Nails , A.M.A. Arch. Dermat. 75:394-396 ( (March) ) 1957.Crossref 3. Forkner, C. E., Jr.; Frei, E., III; Edgcomb, J. H., and Utz, J. P.: Pseudomonas Septicemia , Amer. J. Med. 25:877-889 ( (Dec.) ) 1958.Crossref 4. Fox, J. E., and Lowbury, E. J. L.: Immunity to Pseudomonas Pyocyanea in Man , J. Path. Bact. 65:519-531 ( (April) ) 1953.Crossref 5. Hasselmann, C. M.: Über Pyodermia gangraenosa mit B. pyocyaneus und B. proteus bei Colitis ulcerosa , Z. Haut. Geschlechtskr. 21:267-269 ( (Nov.) ) 1956. 6. Bruck, C.: Die Pyocyaneuserkrankungen der Haut , in Jadassohn J.: Handbuch der Haut und Geschlechtskrankeiten , Berlin, Springer-Verlag, 1929, Vol. 9 (Pt. (1) ), pp. 130-141. 7. Brunsting, L. A.; Goeckerman, W. H., and O'Leary, P. A.: Pyoderma (Echthyma) Gangrenosum , Arch. Dermat. Syph. 22:655-680 ( (Oct.) ) 1930.Crossref 8. Kozikowski, E. S., and Ippolito, V.: Pyoderma Gangrenosum Secondary to Insect Bite, Proceedings of Cleveland Dermatological Society , A.M.A. Arch. Dermat. 74:220 ( (Aug.) ) 1956.Crossref 9. Russell, B.: Phagedenic and Gangrenous Ulceration of the Skin Complicating Ulcerative Colitis (Phagedena Geometricum) , Brit. J. Dermat. 62:114-123 ( (March) ) 1950.Crossref 10. Perry, H. O., and Brunsting, L. A.: Pyoderma Gangrenosum , A.M.A. Arch. Dermat. 75: 380-386 ( (March) ) 1957.Crossref 11. Rostenberg, A., Jr.: The Shwartzman Phenomenon: A Review with a Consideration of Some Possible Dermatological Manifestations , Brit. J. Dermat. 65:389-404 ( (Nov.) ) 1953.Crossref 12. Wright, E. T., and Greco, D. J.: Pyoderma Gangrenosum: Report of a Case Controlled by Cortisone , A.M.A. Arch. Dermat. 74:543-546 ( (Nov.) ) 1956.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Pseudomonas Aeruginosa—Contaminant or Pathogen?

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Publisher
American Medical Association
Copyright
Copyright © 1961 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1961.01580150056010
Publisher site
See Article on Publisher Site

Abstract

Abstract When Pseudomonas aeruginosa is cultured from the blood or from the sputum in sufficient number, there is seldom any hesitancy in attributing the concurrent septicemia or pneumonia to this organism. In those areas accessible to air-borne contaminants, it has been accepted as the causative agent in certain cases of external otitis and in paronychial infection accompanied by blue-black nails1 (Fig. 1) and as a secondary invader of burns. Paradoxically, it is almost never accepted as a pathogen in other lesions of skin from which it is cultured. The occurrence of skin lesions from which Pseudomonas can be cultured during the course of Pseudomonas septicemia lends credence to the belief that this organism may be a pathogen in glabrous skin. This occurrence is well documented by Forkner, Frei, Edgcomb, and Utz,2 who classify the skin lesions occurring during Pseudomonas septicemia as follows: Ecthyma gangrenosa. These were round, indurated, ulcerated areas with References 1. This case is reprinted from the German literature with the permission of Zeitschrift für Haut- und Geschlechtskrankheiten and of the author, Professor Hasselmann,4 of Erlangen, Germany. 2. Bauer, M. F., and Cohen, H.: The Role of Pseudomonas in Infections About the Nails , A.M.A. Arch. Dermat. 75:394-396 ( (March) ) 1957.Crossref 3. Forkner, C. E., Jr.; Frei, E., III; Edgcomb, J. H., and Utz, J. P.: Pseudomonas Septicemia , Amer. J. Med. 25:877-889 ( (Dec.) ) 1958.Crossref 4. Fox, J. E., and Lowbury, E. J. L.: Immunity to Pseudomonas Pyocyanea in Man , J. Path. Bact. 65:519-531 ( (April) ) 1953.Crossref 5. Hasselmann, C. M.: Über Pyodermia gangraenosa mit B. pyocyaneus und B. proteus bei Colitis ulcerosa , Z. Haut. Geschlechtskr. 21:267-269 ( (Nov.) ) 1956. 6. Bruck, C.: Die Pyocyaneuserkrankungen der Haut , in Jadassohn J.: Handbuch der Haut und Geschlechtskrankeiten , Berlin, Springer-Verlag, 1929, Vol. 9 (Pt. (1) ), pp. 130-141. 7. Brunsting, L. A.; Goeckerman, W. H., and O'Leary, P. A.: Pyoderma (Echthyma) Gangrenosum , Arch. Dermat. Syph. 22:655-680 ( (Oct.) ) 1930.Crossref 8. Kozikowski, E. S., and Ippolito, V.: Pyoderma Gangrenosum Secondary to Insect Bite, Proceedings of Cleveland Dermatological Society , A.M.A. Arch. Dermat. 74:220 ( (Aug.) ) 1956.Crossref 9. Russell, B.: Phagedenic and Gangrenous Ulceration of the Skin Complicating Ulcerative Colitis (Phagedena Geometricum) , Brit. J. Dermat. 62:114-123 ( (March) ) 1950.Crossref 10. Perry, H. O., and Brunsting, L. A.: Pyoderma Gangrenosum , A.M.A. Arch. Dermat. 75: 380-386 ( (March) ) 1957.Crossref 11. Rostenberg, A., Jr.: The Shwartzman Phenomenon: A Review with a Consideration of Some Possible Dermatological Manifestations , Brit. J. Dermat. 65:389-404 ( (Nov.) ) 1953.Crossref 12. Wright, E. T., and Greco, D. J.: Pyoderma Gangrenosum: Report of a Case Controlled by Cortisone , A.M.A. Arch. Dermat. 74:543-546 ( (Nov.) ) 1956.Crossref

Journal

Archives of DermatologyAmerican Medical Association

Published: Sep 1, 1961

References