Necrotising Ulcerative Gingivitis: A Rare Manifestation of Pseudomonas Infection

  • Aditya Jandial
  • Kundan Mishra
  • Asharam Panda
  • Deepesh Lad
  • Gaurav Prakash
  • Alka Khadwal
  • Neelam Varma
  • Subhash Varma
  • Pankaj MalhotraEmail author

Dear editor,

Management of intra-oral infections in immunocompromised patients can be potentially challenging and deceiving [1]. Opportunistic pathogens including bacteria, viruses and fungi are the major cause of necrotising intra-oral infections in immunocompromised patients [2]. Overlapping clinical features produced by various infective agents acting alone or in combination may challenge clinical judgement at bedside. We present a case of acute myeloid leukemia (AML) who developed Pseudomonas aeruginosa related necrotising ulcerative gingivitis.

A 19-year-old girl, known case of AML, post allogenic hematopoietic stem cell transplant (HSCT) with graft failure was planned for second allogenic-HSCT. She presented on Day + 128 with fever and exquisite gingival pain in right maxillary pre-molar region of 1-day duration. She also complained difficulty in opening the mouth and pain on chewing food. Neither she had any such complaint in the past nor did she develop any such symptoms during...


Compliance with Ethical Standards

Conflict of interest

There is no conflict of interest between the authors.

Informed Consent

Informed signed written consent was taken from the patient involved.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Human and Animals Rights

No animals were involved in the study.


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Copyright information

© Indian Society of Hematology and Blood Transfusion 2018

Authors and Affiliations

  1. 1.Department of Internal MedicinePostgraduate Institute of Medical Education and ResearchChandigarhIndia
  2. 2.Department of HematologyPostgraduate Institute of Medical Education and ResearchChandigarhIndia

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