scholarly journals Skin Abscess due toSerratia marcescensin an Immunocompetent Patient after Receiving a Tattoo

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
J. Diranzo García ◽  
J. Villodre Jiménez ◽  
V. Zarzuela Sánchez ◽  
L. Castillo Ruiperez ◽  
A. Bru Pomer
Keyword(s):  
Serratia Marcescens ◽  
Antimicrobial Therapy ◽  
Skin Infection ◽  
Clinical Manifestations ◽  
Immunocompetent Patient ◽  
Prolonged Treatment ◽  
Immunocompromised Patients ◽  
Skin Infections ◽  
Granulomatous Lesions

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.

scholarly journals Disseminated Cutaneous Mycobacterium Fortuitum-Chelonae Complex Infection in a Young, Immunocompetent Patient: A Case Report

2021 ◽  
Vol 20 (3) ◽  
Author(s):  
Atikah Rozhan ◽  
Kahairi Abdullah ◽  
Zamzil Amin Asha'ari
Keyword(s):  
Case Report ◽  
Drug Therapy ◽  
Skin Infection ◽  
Immunocompetent Patient ◽  
Mycobacterium Fortuitum ◽  
Immunocompromised Patients ◽  
Skin Infections ◽  
Diagnostic Dilemma ◽  
Rapidly Growing Mycobacteria ◽  
Immunocompetent Patients

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.

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
Keyword(s):  
Serratia Marcescens ◽  
Skin Infection ◽  
Immunocompetent Patient

scholarly journals Mycobacterium peregrinum Skin Infection

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 ◽  
...  
Keyword(s):  
Skin Infection ◽  
Simple Procedure ◽  
Treatment Options ◽  
Immunocompetent Patient ◽  
Correct Identification ◽  
Skin Infections ◽  
Biochemical Tests ◽  
Therapeutic Success ◽  
Clinical Challenge ◽  
Specific Agent

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.

scholarly journals Skin Infection Caused by Serratia marcescens in a Patient with Diabetes Mellitus

2021 ◽  
pp. 17-20
Author(s):  
Dong Heon Lee ◽  
Dong Hyek Jang ◽  
Mi Youn Park ◽  
Jiyoung Ahn ◽  
Hye Jung Jung
Keyword(s):  
Diabetes Mellitus ◽  
Serratia Marcescens ◽  
Hypertrophic Scar ◽  
Skin Infection ◽  
Intralesional Injection ◽  
Skin Infections ◽  
Thickness Skin ◽  
Immunosuppressed Patients ◽  
Bacterium Strain ◽  
Typical Skin

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.

A Rare Case of Tuberculous Prostatitis

2016 ◽  
Vol 1 (2) ◽  
pp. 33
Author(s):  
Nurul Yaqeen Mohd Esa ◽  
Mohammad Hanafiah ◽  
Marymol Koshy ◽  
Hilmi Abdullah ◽  
Ahmad Izuanuddin Ismail ◽  
...  
Keyword(s):  
Rare Case ◽  
Correct Diagnosis ◽  
Immunocompetent Patient ◽  
Clinical Suspicion ◽  
Tuberculosis Infection ◽  
Advanced Age ◽  
Immunocompromised Patients ◽  
Prostatic Biopsy ◽  
High Clinical Suspicion

Tuberculous prostatitis is an uncommon form of tuberculosis infection. It is commonly seen in immunocompromised patients and in those of middle or advanced age. The diagnosis is often not straight forward due to the nature of its presentation. We report a case of tuberculous prostatitis in a young, healthy and immunocompetent patient, who initially presented with respiratory features, followed by episodes of seizures and testicular swelling. He was finally diagnosed with tuberculous prostatitis after prostatic biopsy. This case illustrates that in a high TB prevalence environment, when symptoms warrant, there should be a high clinical suspicion coupled with a thorough approach in order to arrive at a correct diagnosis of TB prostatitis.

Association of staphylococcal skin infections and swimming

1995 ◽  
Vol 31 (5-6) ◽  
pp. 11-17 ◽  
Author(s):  
N. Charoenca ◽  
R. S. Fujioka
Keyword(s):  
Coastal Waters ◽  
Skin Infection ◽  
Antibiotic Sensitivity ◽  
Control Group ◽  
Skin Infections ◽  
Telephone Interviews ◽  
Phage Types ◽  
History Of ◽  
Staphylococcal Skin Infections ◽  
Recreational Use

An association between using coastal waters for recreation and staphylococcal skin infections has been reported by canoe paddlers and several physicians in Hawaii. A retrospective epidemiological/microbiological monitoring study was undertaken to determine the association between S aureus skin infections in youngsters (4 months to 16 years of age) and their exposure to recreational use of coastal waters. Telephone interviews were conducted of 53 patients with such skin infections and 53 similar (controlled for age and sex) patients with no infection. A significant association between skin infection and water exposure was found, the odds showing that those developing skin infection caused by S aureus were 4 times more likely to have had a history of seawater contact than the control group. Moreover, the antibiotic sensitivity patterns and phage types of S aureus isolated from patients were similar to those isolated from seawater at bathing beaches.

Community acquired pneumonia-current scenario among immunocompromised patients in a tertiary care hospital

2016 ◽  
Vol 5 (01) ◽  
pp. 4715
Author(s):  
A. V. Sowmya* ◽  
G. Jayalakshmi ◽  
David Agatha
Keyword(s):  
Diabetes Mellitus ◽  
Antimicrobial Therapy ◽  
Tertiary Care ◽  
Community Acquired Pneumonia ◽  
Polymicrobial Infection ◽  
Resistance Pattern ◽  
Care Hospital ◽  
Immunocompromised Patients ◽  
Drug Resistant ◽  
Etiologic Agents

Pneumonia is a common illness accounting for majority of hospitalizations worldwide with significant mortality and morbidity. Antimicrobial therapy, being the main stay of treatment, the choices of antibiotics depends on the nature of the etiologic agents and the host factors. The current study was aimed to identify the bacterial & fungal etiologic agents of Community Acquired Pneumonia (CAP) in Immunocompromised (IC) patients, with their antimicrobial resistant pattern and to analyze the associated immunocompromised states. Various respiratory samples from study group of 75 immunocompromised patients with features of pneumonia were collected, processed and the isolates were identified with their antimicrobial susceptibility& resistance pattern according to CLSI guidelines. The results were analyzed statistically. Diabetes mellitus is the most common immunocompromised state (48%) associated with CAP. Monomicrobial and polymicrobial infection rates were 80.36% and 19.64% respectively. Gram negative pathogens and fungal pathogens were identified in 60% and 25.37% of culture positive cases respectively. Diabetes mellitus is commonly found in association with polymicrobial infection (19.44%) and fungal infection (16.66%). Drug resistant strains comprise about 75% of MRSA strains, 72.72 % of ESBL producers and 3.44% of Amp C producers. As the number of elderly people with associated IC state is on rise, with change in the pattern of microbial etiologic agents causing CAP, a prior knowledge of the host and microbial factors will help in formulating empirical antimicrobial therapy and proper treatment thereby curbing the spread of infections by drug resistant pathogens and the associated morbidity and mortality.

scholarly journals Gastrointestinal Histoplasmosis Mimicking Crohn’s Disease

2021 ◽  
Author(s):  
Esfandiar Shojaei ◽  
Joanna C Walsh ◽  
Nikhil Sangle ◽  
Brian Yan ◽  
Michael S Silverman ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Antifungal Therapy ◽  
Immunocompetent Patient ◽  
Immunocompromised Patients ◽  
Disseminated Histoplasmosis ◽  
Gastrointestinal Histoplasmosis ◽  
Life Threatening ◽  
Inflammatory Drugs ◽  
Tissue Specimens

Abstract Disseminated histoplasmosis is a life-threatening disease usually seen in immunocompromised patients living in endemic areas. We present an apparently immunocompetent patient with gastrointestinal histoplasmosis who was initially diagnosed as biopsy-proven Crohn’s disease. Following discontinuation of anti-inflammatory drugs and institution of antifungal therapy, his GI illness completely improved. Specific fungal staining should be routinely included in histopathologic assessment of tissue specimens diagnosed as Crohn’s disease.

Septic Shock

1992 ◽  
Vol 7 (2) ◽  
pp. 90-100 ◽  
Author(s):  
Margaret M. Parker ◽  
Mitchell P. Fink
Keyword(s):  
Septic Shock ◽  
Supportive Care ◽  
Antimicrobial Therapy ◽  
Clinical Manifestations ◽  
Sepsis Syndrome ◽  
Adjunctive Treatment ◽  
Cardiovascular Changes ◽  
The Past ◽  
Sepsis And Septic Shock ◽  
Very High

The incidence of sepsis and septic shock has been increasing dramatically over the past 10 years. Despite advances in antimicrobial therapy, the mortality of septic shock remains very high. We review the clinical manifestations of sepsis and septic shock and describe the cardiovascular manifestations. Pathophysiology of the cardiovascular changes is discussed, and mediators believed to be involved in the pathogenesis are reviewed. Management of septic shock is also discussed, including antimicrobial therapy, supportive care, and adjunctive treatment aimed at affecting the mediators involved in producing the sepsis syndrome.

Sign in / Sign up

Export Citation Format

Share Document