Letter

Burns, Sonia; Scott, John A.; Hiscott, Paul; Hebbar, Gautam; Kamaruddin, K; Jalili, I K

doi:10.1038/eye.1997.116

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“…acute leukemia) have also been associated with E. coli cellulitis [9][10][11][12][13]. Of all patients previously reported with E. coli cellulitis, more than 80% of such patients have been bacteremic [5][6][7][8][9][10][11][12][13].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Gram-Negative Cellulitis in a Liver Transplant Recipient

Paterson¹,

Gruttadauria

Lauro

et al. 2001

Infection

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A 47-year-old liver transplant recipient developed fever and cellulitis on the 8th post-transplant day. The clinical appearances were of a rapidly advancing cellulitis. The patient had a past history of severe peripheral edema and hypoalbuminemia. Blood cultures and skin biopsy grew Escherichia coli. To our knowledge, this is the first reported case of E. coli cellulitis in a liver transplant recipient. However, cases have previously been described in patients with cirrhosis or idiopathic nephritic syndrome, conditions which share predisposing features of peripheral edema and hypoalbuminemia. Bacteremic gram-negative cellulitis should be considered in compromised patients with unusual presentations of cellulitis.

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