Skin Manifestations of Systemic Bacterial Infections

  • Pascal del Giudice
  • Olivier Chosidow
  • The clinical manifestations of a systemic bacterial infection may be caused directly by the bacteria and/or by its toxins.

  • Secondary locations of bacteremias occur mainly during the course of endocarditis or septic vasculitis during acute or chronic meningococcaemia and gonococcaemia.

  • Ecthyma gangrenosum is a particular form of secondary septic location occurring mainly in neutropenic subjects and mainly caused by Pseudomonas aeruginosa.

  • Toxinic manifestations are mainly caused by Staphylococcus aureus, responsible for toxic shock syndrome and staphylococcal scalded skin syndrome, and Streptococcus pyogenes, responsible for streptococcal toxic shock syndrome and scarlet fever.

  • Purpura fulminans is a particular severe form of bacterial sepsis associated with vasculopathy and necrosis of the extremity.


Necrotizing Fasciitis Toxic Shock Syndrome Skin Manifestation Scarlet Fever Purpura Fulminans 
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Copyright information

© Springer-Verlag Berlin Heidelberg 2009

Authors and Affiliations

  • Pascal del Giudice
    • 1
  • Olivier Chosidow
    • 2
  1. 1.Infectiology and Dermatology DepartmentHôpital BonnetFréjusFrance
  2. 2.Université Paris VI and Service de dermatologie et d'allergologieHôpital TenonParisFrance

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