scholarly journals Skin Infection Due to Serratia marcescens in an Immunocompetent Patient

2011 ◽  
Vol 102 (3) ◽  
pp. 236-237
Author(s):  
P. Giráldez ◽  
E. Mayo ◽  
P. Pavón ◽  
A. Losada
2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
J. Diranzo García ◽  
J. Villodre Jiménez ◽  
V. Zarzuela Sánchez ◽  
L. Castillo Ruiperez ◽  
A. Bru Pomer

The incidence of skin infections caused bySerratia marcescensis extremely low and such infections are typically observed in immunocompromised patients. The clinical manifestations of these infections include cellulitis, abscesses, fluctuant nodules, or granulomatous lesions. Infections caused byS. marcescensare very difficult to treat due to their resistance to many antibiotics, which often leads to specific and prolonged treatment. Infections after receiving a tattoo are very rare and are caused by unhygienic conditions or the inexperience of the tattooist. In this paper we present the case of a 32-year-old male with no comorbidity, who presented an abscess caused byS. marcescensin a area that was tattooed one month earlier. The case was resolved with surgery and antimicrobial therapy that was based on the antibiogram. To our knowledge, this is the first reported case of aS. marcescensskin infection following a tattoo, in the absence of immunosuppression.


2018 ◽  
Vol 16 (5) ◽  
pp. 614-616 ◽  
Author(s):  
Sibylle Schliemann ◽  
Franziska Rässler ◽  
Jörg Tittelbach ◽  
Katharina Kranzer ◽  
Christine Zollmann ◽  
...  

2015 ◽  
Vol 20 (3) ◽  
pp. 249-251 ◽  
Author(s):  
Patrick Alexander Wachholz ◽  
Christiane Salgado Sette ◽  
Dejair Caitano do Nascimento ◽  
Cleverson Teixeira Soares ◽  
Suzana Madeira Diório ◽  
...  

Background: Mycobacterium peregrinum is a rapidly growing mycobacterium (RGM) that rarely causes skin infections. The correct identification of the specific RGM infecting the skin will enhance therapeutic success. Objective: To highlight the importance of rapid and precise identification of the Mycobacterium involved in skin infections in order to enhance therapeutic success. Methods: We describe an RGM skin infection in an immunocompetent patient. Results: Classic methods (biochemical tests and culture) of RGM identification are time-consuming, and the histopathological features are not specific. Some molecular methods are reliable but expensive. The PRAhsp-65 is a simple procedure that is helpful in identifying the specific agent of an RGM. Conclusion: Although skin infections caused by M peregrinum are rare, they represent a substantial clinical challenge. Specific and more effective treatment options depend on the development of precise and rapid methods for identifying mycobacterial species.


Open Medicine ◽  
2020 ◽  
Vol 16 (1) ◽  
pp. 81-86
Author(s):  
Duško Kljakić ◽  
Miloš Z. Milosavljević ◽  
Milan Jovanović ◽  
Vesna Čolaković Popović ◽  
Saša Raičević

AbstractSeveral Serratia species are widely distributed in nature, but Serratia marcescens is the only species frequently isolated in hospitals. This pathogen is mainly responsible for nosocomial infection, mostly in immunocompromised hosts. A 26-year-old woman with a twin pregnancy, regularly controlled, was hospitalized at 24 + 5 weeks of gestation due to scant vaginal bleeding, lower abdominal pain, and body temperature up to 37.5°C. Gynecological examination revealed bleeding accompanied by dilatation of the cervix. The laboratory analyses revealed leukocytosis with elevated C-reactive protein (CRP). Treatment was initiated with intravenous antibiotic administration. After admission, fetal membranes spontaneously ruptured, and an extremely preterm dichorionic female twin birth occurred at 25 + 0 weeks of gestation. Both infants died two days after labor. Pathological and microbiological analyses revealed chorioamnionitis caused by S. marcescens. According to the antibiogram, antibiotic treatment was continued for the next 7 days. The examination of cervical and vaginal discharge samples was negative three days and two weeks after therapy. S. marcescens may cause spontaneous miscarriages and, in this important case, caused loss of discordant twins in an extremely preterm birth by an immunocompetent patient. Infection by S. marcescens cannot be excluded as a cause of discordant growth and needs to be confirmed by further research.


2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Hiba Hadid ◽  
Muhammad Usman ◽  
Sudeep Thapa

Septic arthritis and osteomyelitis due toSerratia marcescensin immunocompetent patients without risk factors are extremely rare. Here, we report a case of septic arthritis and severe adjacent osteomyelitis of the tibia due toSerratia marcescensin a diabetic community-dweller patient. The patient had no contact with healthcare workers or facilities and had no chronic disease except for poorly controlled diabetes. Without predisposing risk factors, this type of infection is extremely rare, even in diabetics.


2021 ◽  
pp. 17-20
Author(s):  
Dong Heon Lee ◽  
Dong Hyek Jang ◽  
Mi Youn Park ◽  
Jiyoung Ahn ◽  
Hye Jung Jung

Serratia marcescens is an uncommon gram-negative bacterium strain that does not cause skin infections in healthy individuals. However, it is rarely reported as the causative agent of infection in immunosuppressed patients or in nosocomial infections. A 51-year-old man was admitted to a hospital presenting with pus and pain that had developed a month ago on a hypertrophic scar area of the back. Although he was on medication for diabetes mellitus, his blood sugar level was poorly controlled. In addition, two months earlier, he received an intralesional injection of 40 mg/mL triamcinolone twice for the hypertrophic scar of the back. S. marcescens was identified in the wound culture. His condition improved after ceftriaxone administration, debridement, and split-thickness skin grafts. Although S. marcescens is an infrequent cause of skin infections, it is important to remember that it may cause infection in some patients and that the course of the disease may be worse than that in a typical skin infection with poor prognosis.


2021 ◽  
Vol 12 (4) ◽  
pp. 466-467
Author(s):  
Siham Belmourida ◽  
Hind Palamino ◽  
Mariame Meziane

Sir, Saccharomyces cerevisiae is a ubiquitous yeast used as a probiotic for antibiotic-associated diarrhea prophylaxis. It is part of the normal flora of the oral, gastrointestinal, and respiratory tracts and the vaginal lining. Severe opportunistic infections due to S. cerevisiae have been reported in patients with immunosuppression with fungemia, endocarditis, pneumonia, and urinary tract infection [1–3]. Herein, we describe the first case in the literature of a skin infection with S. cerevisiae in an immunocompetent patient. A 72-year-old patient with no particular history had had pruriginous skin lesions for five years in the context of general state preservation and apyrexia. A skin examination revealed erythematous and maculopapular lesions diffused throughout the body (Figs. 1a−1d). The phaners and mucous membranes were without abnormality, and there was no adenopathy. The rest of the examination was unremarkable. The patient had been treated several times with topical and oral antifungals and dermocorticoids but without any improvement.


2021 ◽  
Vol 20 (3) ◽  
Author(s):  
Atikah Rozhan ◽  
Kahairi Abdullah ◽  
Zamzil Amin Asha'ari

Mycobacteria fortuitum and chelonae are a group of Rapidly Growing Mycobacteria (RGM) that can cause skin infections, most commonly in immunocompromised patients. RGM can also infect immunocompetent patients, but the disease is usually localized. Immunocompetent patients infected by RGM usually had a predisposing condition leading to the skin infection. We present a case of an immunocompetent patient with no predisposing factors, who presented with a chronic lesion on his neck that disseminated to his axilla. Culture and species identification from the skin biopsy revealed Mycobacterium fortuitum-chelonae complex. The patient was treated with a combination of surgery and multi-drug therapy. This case report highlights the rarity of cutaneous RGM infections encountered in ENT setting and the diagnostic dilemma due to the non-typical characteristics of skin lesion in RGM infections.


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