Cutaneous infection caused by Serratia marcescens in a child

García, Francisco Debesa; Paz, Roberto C.; González, Rosalba S.; Ruiz, Eduardo S.; Martín-Neda, F.G.; Rodríguez, Miguel S.; Martín, Marina R.; Sarto, Miriam Sidro; Arguelles, Hugo A.; Bustinduy, Marta García; Cabrera, Antonio N.

doi:10.1016/j.jaad.2005.08.053

Cited by 19 publications

(17 citation statements)

References 4 publications

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“…Here, we present a very rare case of S. marcescens infection on the face of a middle‐aged healthy female. Initial clinical manifestation resembled that of previously reported cases, 1,3,4 which could enable an early diagnosis of this uncommon condition.…”

supporting

confidence: 79%

“…In common recognition, S. marcescens could cause infection predominantly in immunocompromised patients 2 . However, unusual cutaneous infection in immnocompetent individuals has been reported in the literature 1,3 . Here, we present a very rare case of S. marcescens infection on the face of a middle‐aged healthy female.…”

mentioning

confidence: 88%

“…Serratia marcescens is a Gram‐negative bacillus that belongs to Enterobacteriaceae 1 . In common recognition, S. marcescens could cause infection predominantly in immunocompromised patients 2 .…”

mentioning

confidence: 99%

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Cutaneous Serratia marcescens infection on the face of a healthy female

Yoshida

Takae

Fujio

et al. 2009

Acad Dermatol Venereol

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supporting

confidence: 79%

mentioning

confidence: 88%

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Cutaneous Serratia marcescens infection on the face of a healthy female

Yoshida

Takae

Fujio

et al. 2009

Acad Dermatol Venereol

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“…Most of the previously reported cases of Serratia have been acute in nature; 22 however, in three patients in our study, the infection had an incubation time of up to 2 months from the time of injury (Table 1). Most of the previously reported cases of Serratia have been acute in nature; 22 however, in three patients in our study, the infection had an incubation time of up to 2 months from the time of injury (Table 1).…”

Section: Discussionmentioning

confidence: 60%

Cutaneous Serratia marcescens infections in Korea: A retrospective analysis of 13 patients

Seo

Shin

et al. 2015

The Journal of Dermatology

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Serratia marcescens is a Gram-negative bacillus belonging to the Enterobacteriaceae family. Because of increasing reports of antimicrobial resistance, this bacterium has received considerable attention and has emerged as an important pathogen. In order to reveal clinical and microbiological characteristics of S. marcescens cutaneous infection and to suggest appropriate antibiotic treatment, we retrospectively analyzed 17 strains isolated from wound swabs of Korean patients between November 2005 and March 2014. A total of 13 patients (five men and eight women) were included in our study, with a mean age of 46.3 years (range, 21-82). Based on medical history, seven patients were classified as immunocompromised. Prior predisposing factors for infections were noted in 12 patients, including pre-existing leg ulcers or dermatitis (5/13), preceding cancer surgeries (2/13), plastic surgeries and filler injection (2/13), traumas (2/13) and medical procedures following cutaneous abscess (1/13). Cutaneous infections showed various clinical presentations, including spontaneous dermal abscess, fingernail change, painful nodules and papular erosions. We found that third- and fourth-generation cephalosporins, gentamicin, levofloxacin and meropenem appeared active against all 17 strains in vitro. Clinically, all patients treated with empirical first-generation cephalosporin showed treatment resistance, and oral quinolone monotherapy was the most preferred antibiotic regimen without treatment failure, with an average treatment duration of 25 days (range, 14-42). This study demonstrates the various clinical presentations and treatment responses for cutaneous S. marcescens infection. Moreover, we suggest that initial antibiotic coverage should be broad enough to account for multidrug resistance in this rare pathogen.

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“…Skin manifestations related to Serratia infections in pediatric cases are rarely reported, although Garcia et al reported a case of a 10-year-old child diagnosed with S. marcessens , who had skin manifestations in the form of erythematous plaques on an upper extremity [5]. …”

Section: Discussionmentioning

confidence: 99%

Serratia Marcessens Infection Presenting With Papillovesikuler Rash Similar to Varicella Zoster Infection: Case Report

Bahadır

Erduran

2015

North Clin Istanbul

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According to the literature, skin manifestations related to Serratia marcessens infections are rarely seen, and observed mostly in immunosuppressed adult patients. Cellulitis, abscess, granulomataus lesions have been reported as skin manifestations of Serratia infections. In our 2 cases with leukemia, papillovesicular rashes were observed resembling those of varicella zoster infection. Serratia marcessens was grown on blood cultures of patients susceptible to meropenem. The patients recovered from the rashes rapidly after treatment. Based on the absence of similar case reports in the literature, we report these two pediatric cases to emphasize that Serratia marcessens infections can present with papillovesicular rash similar to that seen in varicella zoster infections.

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Cutaneous infection caused by Serratia marcescens in a child

Cited by 19 publications

References 4 publications

Cutaneous Serratia marcescens infection on the face of a healthy female

Cutaneous Serratia marcescens infection on the face of a healthy female

Cutaneous Serratia marcescens infections in Korea: A retrospective analysis of 13 patients

Serratia Marcessens Infection Presenting With Papillovesikuler Rash Similar to Varicella Zoster Infection: Case Report

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