Abstract

Ecthyma gangrenosum (EG), is an uncommon cutaneous lesion, considered as a type of necrotizing vasculitis, mostly observed in immunocompromised patients with Pseudomonas aeruginosa bacteremia [1] in whom is been described a mortality around 10% to 38% [2]. Recent studies have shown the presence of other less frequent agents involved in EG. This case report presents a patient with human immunodeficiency virus (HIV) and an exuberant presentation of EG caused by a different etiology than what is typically described. This case did not involve a septicemic cause and was localized on the nail unit and distal left thumb. The patient was successfully treated with oral antibiotics.