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Ecthyma gangrenosum in a premature infant: rare but critical to recognise
  1. Merle Caron1,
  2. Claudy Oliveira dos Santos2,
  3. Marieke Anne Catharine Hemels1,
  4. Esther J d'Haens1
  1. 1 Princess Amalia Department of Pediatrics, Department of Neonatology, Isala Zwolle, Zwolle, The Netherlands
  2. 2 Laboratory of Medical Microbiology and Infectious Diseases, Isala Zwolle, Zwolle, The Netherlands
  1. Correspondence to Esther J d'Haens, Princess Amalia Department of Paediatrics, Department of Neonatology, Isala Zwolle, Zwolle 8025AB, The Netherlands; e.j.haens{at}

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A premature male infant born at 26+1 weeks of gestation, with a birth weight of 615 g (<p1), was admitted to the neonatal intensive care unit. In the absence of risk factors, no antibiotics were started initially. Directly after birth, neutropenia (0.9×109/L) was noted, most likely explained by dysmaturity. On day 3, he showed symptoms of infection, including hypotension and a necrotic ulcer …

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.