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Greenfoot pdf8/21/2023 ![]() However, when they affect immunocompromised patients, they can cause potentially serious infections, such as infections of open ulcers or diabetic foot, ecthyma gangrenosum, cellulitis or abscesses, as well as necrotising fasciitis and malignant otitis externa. 2–4 In healthy patients, Pseudomonas genus bacteria penetrate the skin via a break in the skin causing: otitis externa (swimmer's ear), paronychia (green nail syndrome), interdigital intertrigo, green foot syndrome, 5,6 folliculitis (hot tub folliculitis) and neonatal omphalitis. aeruginosa is responsible for a wide spectrum of skin infections, although they are relatively rare in immunocompetent patients. aeruginosa is a motile, strict aerobic gram-negative bacillus that is frequently isolated in damp natural media such as water, soil or plants, as well as in the hospital environment. Based on the culture results and the antibiogram, her primary care physician decided to complete treatment with oral levofloxacin (500 mg per day) for 2 weeks, with good tolerance and full resolution of pigmentation and ulcers. Two weeks later, the ulcers had re-epithelialised, although the peripheral green colouration persisted. aeruginosa), confirming the diagnosis of ulcerative green foot. Gram-negative bacilli were isolated in the cultures of both samples, corresponding to Pseudomonas aeruginosa ( P. Samples were collected for culture via a smear of the ulcers on the soles with a sterile swab with medium, and by scraping the scales of the greenish borders.Įmpirical treatment with oral ciprofloxacin was started (250 mg/12 h, for 2 weeks), also recommending filing of the hyperkeratotic areas and application of 4% acetic acid poultices by immersion for 10 min per day. With epiluminescence, we observed an intense greenish colouration around the ulcers and a bluish colouration following a “parallel furrow” and a “lattice-like” pattern ( Fig. Upon illuminating the ulcers with a Wood lamp, a faint peripheral light green fluorescence was observed. They had a rounded or ovaloid shape with discharge exuding from the base and a characteristic greenish hyperkeratotic halo. ![]() During the examination, 2 small ulcers were observed at the head of the third metatarsal of the right foot and 3 on the left foot ( Fig. ![]() She denied having suffered any trauma or injuries to this location. ![]() The patient worked in a damp environment and wore rubber boots. The Journal is included in Science Citation Index Expanded, Medline/PubMed, and SCOPUS.Ī 49-year-old woman with a history of β-lactam allergy, referred for evaluation of small painful, bilateral and symmetrical ulcers in the anterior plantar region of both feet with one month of evolution. The quality of the material published is the main aim of the Editors, as well as to provide readers with the latest and most relevant information in the world of infectious diseases.Įnfermedades Infecciosas y Microbiología Clínica includes the following sections: original articles, critical reviews, scientific letters, and a section dedicated to continuing medical education, which each year deals with a specific subject and a series of specific topics of the specialty, prepared by invited authors of recognised experience. The Journal follows a rigorous selection process of the manuscripts published through the review by the best experts in each area of knowledge of the specialty. It has as its aim to respond to the challenges currently posed by everything associated with infectious diseases, from a clinical, microbiological and public health perspective. The Journal Enfermedades Infecciosas y Microbiología Clínica is the official publication of the Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica (SEIMC) (Spanish Society of Infectious Diseases and Clinical Microbiology).
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