An Uncommon Case of Ecthyma Gangrenosum in a Three-Year-Old Immunocompetent Child.

Ecthyma gangrenosum (EG) is a rare cutaneous finding of Pseudomonas aeruginosa sepsis, typically in immunocompromised patients. We present EG with septic shock in a previously healthy three-year-old child who presented with rapidly progressing necrotic eschars and severe neutropenia. Prompt antibiotic therapy, inotropic support, and surgical debridement led to a full recovery. Early diagnosis and aggressive management are critical for favorable outcomes.