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 10 th post-operative day, patient succumbed to multiple organ dysfunction syndrome. Message Early detection and management of complications of P. aeruginosa enteric disease is important.