septicemia is rare in previously healthy children. Skin lesions such as subcutaneous nodules and ecthyma gangrenosum may be the first manifestation of infection that have rarely been reported. Herein we reported a previously healthy 6-month-old boy patient who presented with suppurative otitis media, multiple nodules, septic shock, and was identified in cultures of the blood, skin lesions, and purulent material of his ears.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8052107PMC
http://dx.doi.org/10.1055/s-0040-1710001DOI Listing

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