Community‐acquired cutaneous ulcer in a child caused by Serratia marcescens

Sharma, Vineeta; Angrup, Archana; Verma, Santwana; Singh, Digvijay; Kanga, Anil

doi:10.1099/jmmcr.0.003228

Cited by 3 publications

(1 citation statement)

References 10 publications

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“…Five of the reports were associated with bite trauma, including 3 iguana bites, 16,29 1 snake bite, 30 1 human bite, 31 and 1 insect bite. 32 One case followed exposure to leeches. 33 Six of the cases had preceding accidental trauma or burns.…”

Section: Discussionmentioning

confidence: 99%

Severe and Progressive Cellulitis Caused by Serratia marcescens Following a Dog Scratch

Pithadia

Weathers

Colombo

et al. 2019

Journal of Investigative Medicine High Impact Case Reports

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Soft tissue infections occur in over 30% of patients with chemotherapy-induced neutropenia. Gram-positive bacterial infections predominate early in neutropenia, and likelihood of infection by resistant bacteria and fungi increases with prolonged neutropenia. Prior infections and exposures influence the risk of rare pathogens. A 55-year-old woman with chemotherapy-induced neutropenia was scratched on her forearm by a dog. She cleaned the wound with isopropanol and was treated empirically with amoxicillin-clavulanate. Over the next 4 days, she developed fever along with erythema, edema, and mild tenderness of the forearm without purulence or crepitus. She was hospitalized and received empiric treatment with intravenous vancomycin, piperacillin-tazobactam, tobramycin, and voriconazole. Despite therapy, her fevers persisted and the cellulitis progressed for over a week. After 10 days of hospitalization, her neutrophil count began to recover and a bulla developed at the wound site. Culture of the bullous fluid grew Serratia marcescens , and antibiotics were switched to cefepime based on susceptibility. She defervesced and showed substantial improvement of cellulitis within 48 hours and was discharged on oral ciprofloxacin. Serratia marcescens skin infections are rare, and this may be the first report of Serratia cellulitis associated with trauma from dog contact. This case highlights the need to consider unusual pathogens based on exposure history and immune status and to obtain cultures from fluid collections or tissue in cases of treatment-resistant soft tissue infections.

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Section: Discussionmentioning

confidence: 99%

Severe and Progressive Cellulitis Caused by Serratia marcescens Following a Dog Scratch

Pithadia

Weathers

Colombo

et al. 2019

Journal of Investigative Medicine High Impact Case Reports

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Late Subcutaneous Infection Caused by Serratia marcescens Following Hyaluronic Acid Injection: A Case Report and Systemic Review

Zhang,

Lyu,

Lin

et al. 2024

J of Cosmetic Dermatology

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BackgroundThe field of cosmetic filler injection has experienced rapid development over the past two decades, especially in facial augmentation utilizing hyaluronic acid (HA) fillers. Gram‐negative bacteria are found to be the main pathogens of infective nodules after HA injection. The occurrence of cutaneous infections attributed to Serratia marcescens is exceedingly rare and predominantly noted in patients with compromised immune systems.AimsTo summarize the clinical features, diagnosis, and treatment of subcutaneous infection caused by Serratia marcescens following hyaluronic acid injection.Patients/MethodsA rare case of cutaneous Serratia marcescens infection following hyaluronic acid injection was presented. A comprehensive review of the published literature describing the management of skin infection caused by S. marcescens in immunocompetent patients was then conducted, which encompassed three case series and eight case reports published between 1999 and 2017. Data extraction included information on authors, gender, age, signs and symptoms, previous treatment, corresponding management strategies, and follow‐up duration.ResultsSerratia marcescens were isolated in abscesses (n = 6, 35.29%), painful nodules (n = 2, 11.76%), ulcers (n = 6, 35.29%), and others (n = 3, 17.65%). In cases providing salvage plans (n = 11), quinolones were shown to be the most effective antibiotics for salvage, with eight full recoveries (72.73%), and trimethoprim‐sulfamethoxazole was the second most useful antibiotic (18.18%).ConclusionsWith the help of pathogen examination and drug‐sensitive tests, sensitive aminoglycosides, quinolone (especially moxifloxacin), or TMP‐SMX for at least 2 weeks can be considered as the first‐line treatment of late subcutaneous infection caused by Serratia marcescens following hyaluronic acid injection.

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Injection site abscess in an immunocompromised patient caused by non-pigmented strain of Serratia marcescens

Jangla¹,

Machhi²

2019

IJMR

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Community‐acquired cutaneous ulcer in a child caused by Serratia marcescens

Cited by 3 publications

References 10 publications

Severe and Progressive Cellulitis Caused by Serratia marcescens Following a Dog Scratch

Severe and Progressive Cellulitis Caused by Serratia marcescens Following a Dog Scratch

Late Subcutaneous Infection Caused by Serratia marcescens Following Hyaluronic Acid Injection: A Case Report and Systemic Review

Injection site abscess in an immunocompromised patient caused by non-pigmented strain of Serratia marcescens

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