Green staining of clothing: a signal for pseudomonal infection
Yilmaz, E.; Savk, E.; Oncü, S.; Güleç, G.ül.U.; Ertuğrul, B.ül.; Sakarya, S.; Uslu, M.; Karaman, G.ök.; Sendur, N.
Cutis 86(6): 305-308
2010
ISSN/ISBN: 0011-4162 PMID: 21284282 Document Number: 642513
Anticonvulsant hypersensitivity syndrome (AHS) is a nondose-related idiosyncratic reaction to aromatic antiepileptic drugs and is a cause of drug discontinuation. Pseudomonas aeruginosa is a gram-negative bacillus that can produce infections in many different organs, including the skin and soft tissue. We report a patient with erythroderma and AHS who developed a pseudomonal infection. Green staining of the underwear served as a diagnostic clue for severe P aeruginosa infection that had developed because of a local flexural skin infection that spread due to a damaged skin barrier. Inspection of the patient's clothes may give information about any exudate from the skin and should be done routinely as part of the physical examination.