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abstractpubmed· Abstract 2015· item PMID:26499020

Shanghai Fever: A Fatal Form of Pseudomonas Aeruginosa Enteric Disease. BACKGROUND: Outcome of pseudomonas enteric fever is unpredictable as multiple systemic lethal complications occur abruptly. CASE CHARACTERISTICS: A 9-month-old girl with multiple ileal perforations, leukocoria, ecthyma gangrenosum, hemiplegia and a perforated ulcer in the soft palate. Blood culture suggested Pseudomonas aeruginosa infection. Operative repair of multiple ileal perforations and multidisciplinary management was provided. OUTCOME: On 10th post-operative day, patient succumbed to multiple organ dysfunction syndrome. MESSAGE: Early detection and management of complications of P. aeruginosa enteric disease is important.