Correspondence |

Spontaneous Citrobacter freundii Infection in an Immunocompetent Patient

Jason G. Whalen, MD; Thaddeus W. Mully, MD; Joseph C. English III, MD
Arch Dermatol. 2007;143(1):115-126. doi:10.1001/archderm.143.1.124.
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Nada  TBaba  HKawamura  KOhkura  TTorii  KOhta  M A small outbreak of third generation cephem-resistant Citrobacter freundii infection on a surgical ward. Jpn J Infect Dis 2004;57181- 182
Reich  HLWilliams Fadeyi  DNaik  NSHonig  PJYan  AC Nonpseudomonal ecthyma gangrenosum. J Am Acad Dermatol 2004;50S114- S117
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Figure 1. The lesion shows a rimmed, erythematous plaque with ulceration and central caseation.

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Figure 2. Hematoxylin-eosin staining reveals a diffuse neutrophilic infiltrate in the dermis and subcutaneous layer as well as minimal karyorrhexis and fibrin deposition in small blood vessel walls (original magnification ×200).

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