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.