Durch Gram-negative Bakterien bedingte Hauterscheinungen bei septischen Krankheiten

  • H. Zienicke
  • H. C. Korting

Zusammenfassung

Je nach Art der zugrunde liegenden Bakterien können Hauterscheinungen bei durch Gram-negative Kokken oder Stäbchen bedingten septischen Krankheiten häufig oder selten auftreten. Das Spektrum reicht von durch Neisserien bedingten septischen Erkrankungen mit fast obligaten Hauterscheinungen bis zu durch Enteritis-Salmonellen bedingten Sepsisfällen, bei denen es kaum je zu Absiedelungen in der Haut kommt. Als pathognomonisch dürfen die Hauterscheinungen bei septischen Krankheiten in der Regel nicht gelten, selbst das „Ecthyma gangraenosum“, das früher exklusiv Pseudomonas aeruginosa zugeordnet wurde, kann auch auf eine Aeromonas hydrophila-Infektion zurückgehen. Nichtsdestoweniger können die Hauterscheinungen bei septischen Krankheiten entscheidende Bedeutung für die Diagnosestellung haben — und damit auch für eine erfolgreiche Therapie.

Summary

The frequency of skin lesions in septic states caused by gram-negative bacteria differs according to the species involved. While the skin is almost always involved in septic diseases caused by Neisseria gonorrhoeae the opposite holds true with gram-negative rods such as Salmonella species. In general the skin lesions associated with septic diseases are not pathognomonic: even the typical clinical picture of “ecthyma gangraenosum” has now to be attributed not only to Pseudomonas aeruginosa but also to Aeromonas hydrophila. But even if skin lesions in a septic state are not pathognomonic, they can look highly conspicuous. Thus, an advanced knowledge of the spectra of skin disease in septic states can contribute a lot to early diagnosis and consequently successful therapy.

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© Springer-Verlag Berlin Heidelberg 1988

Authors and Affiliations

  • H. Zienicke
    • 1
  • H. C. Korting
    • 1
    • 2
  1. 1.Dermatologische Klinik und PoliklinikLudwig-Maximilians-Universität MünchenDeutschland
  2. 2.Dermatologische KlinikMünchen 2Deutschland

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