Septic Sacroiliitis caused by Serratia marcescens

Simon, Erin L.; Wainblat, Ethan; Krizo, Jessica; Smalley, Courtney M.; Fertel, Baruch S.

doi:10.1016/j.ajem.2020.05.075

Cited by 3 publications

(4 citation statements)

References 13 publications

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“…Otros de los agentes etiológicos aislados son Pseudomonas aeruginosa (en pacientes usuarios de drogas intravenosas) (16), Brucella melitensis, especialmente en contextos de salubridad inadecuada, presentándose como manifestación de la brucelosis (12)(13), Serratia marcescens, Streptococcus pneumoniae, estreptococos de los grupos A y B, Clostridioides y Salmonella spp (1,(15)(16)(17).…”

Section: Revisión De La Literaturaunclassified

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Sacroileítis piógena en pediatría: reporte de caso y revisión de la literatura

García Pescador,

Delgado Barraza

2023

Rev. Med.

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Las infecciones osteoarticulares en pacientes pediátricos están asociadas a morbilidad significativa y riesgo de secuelas funcionales o anatómicas, que requieren intervenciones quirúrgicas, en ciertas ocasiones. La sacroileítis piógena (SP) es una infección bacteriana osteoarticular que abarca un pequeño porcentaje del total de las artritis sépticas. La sintomatología es imprecisa, lo que hace retrasar el diagnóstico de la enfermedad y, consecuentemente, llevar a posibles complicaciones como abscesos, sepsis y deformación de las articulaciones. En la actualidad, la resonancia magnética nuclear (RMN) es el método diagnóstico más útil en razón a su relativamente fácil acceso y alta sensibilidad. El inicio del manejo antibiótico adecuado implica una rápida regresión de los síntomas. Presentamos el caso clínico de una paciente escolar atendida en un hospital de Bogotá, Colombia, quien presentó un cuadro de SP, sospechado con base en la anamnesis y examen físico para finalmente ser confirmado por imagenología y cultivo microbiológico.

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Section: Revisión De La Literaturaunclassified

“…El aumento de la proteína C reactiva y de la velocidad de sedimentación globular, como consecuencia del síndrome inflamatorio, tiene una sensibilidad de 33 % y 56 % y especificidad de 76 % y 70 %, respectivamente. La leucocitosis es un hallazgo menos común y solo se encuentra en cerca de la mitad de los pacientes (15,16).…”

Section: Revisión De La Literaturaunclassified

Sacroileítis piógena en pediatría: reporte de caso y revisión de la literatura

García Pescador,

Delgado Barraza

2023

Rev. Med.

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“…Giulia Fazio et al (20) Female, 46 years old Pulmonary Cavitated metastasis, history of swimming -Erin L Simon (21) Male, 29 years old Sacroiliac joint Previous bloodstream infection Ceftriaxone, vancomycin Makusha et al (25) Male, 89 years old Endophthalmos Urinary tract infection -Hospital reported septic arthritis of the knee caused by S. marcescens in a 10-week-old baby with Escobar syndrome (18) . Treatment consisted of intravenous meropenem.…”

Section: Ivdu Meropenemmentioning

confidence: 99%

“…Fazio et al (20) described cavitated pulmonary nodules in a female patient with breast cancer concerning pulmonary cavities, and the differential diagnosis included metastatic lung nodules, rheumatoid arthritis, Langerhans cell histiocytosis, mycotic infections, and septic emboli. Simon et al reported a case of septic sacroiliitis caused by S. marcescens; the patient could not walk for 3 weeks and was treated with intravenous ceftriaxone and vancomycin (21) . Makusha et al presented the case of an 89-year-old man with S. marcescens urosepsis with a multifocal end-organ infection on F-FDG PET/CT, including aortitis, splenic abscess, septic arthritis, thoracolumbar discitis-osteomyelitis, and cultureconfirmed bilateral endogenous endophthalmitis.…”

Section: Ivdu Meropenemmentioning

confidence: 99%

Serratia marcescens Septic Arthritis and Osteomyelitis after COVID-19: A Case Report and Literature Review

Tantikosol¹,

Sumanasrethakul²,

Pakpianpairoj³

2022

JseaOrtho

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Purpose: Septic arthritis and osteomyelitis due to Serratia marcescens are very rare, with only a few cases reported in the literature. This report presents a case of septic arthritis and osteomyelitis of the hip joint caused by Serratia marcescens after COVID-19. Methods: A case report of a patient who had septic arthritis of Serratia marcescens was reported. A review of literature of the bone and joint infection caused by Serratia marcescens was also done. Results: The patient was successfully treated with an open arthrotomy, debridement, and intravenous antibiotics. After 9 months, the patient showed good functional outcomes, with no signs of recurrent infection. Conclusions: Septic arthritis caused by Serratia marcescens is a rare condition. Early diagnosis and urgent surgical debridement are key factors for success.

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Serratia Sacroiliitis Secondary to Intravenous Drug Use: A Case Report

Delgadillo,

Buchman,

Webber

et al. 2024

Cureus

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Serratia spp. are ubiquitous, opportunistic, and infectious organisms that have historically been known to infect the upper respiratory, urinary, and circulatory systems. This manuscript presents the case of a 35-year-old White female with a past medical history of polysubstance abuse, intravenous drug use (IVDU), and poor dentition who was admitted to a community hospital with complaints of lower back pain for 10 days following the recent completion of treatment for a suspected epidural abscess. Per her report, her last IVDU with fentanyl was 11 days prior, and she admitted to using various sources of water to inject her drugs. Magnetic resonance imaging with contrast was significant for possible infectious sacroiliitis, and blood cultures grew Serratia marcescens . Due to this patient's extensive IVDU history, in-patient ceftriaxone was chosen over discharging the patient with a peripherally inserted central catheter line. Serratia spp.bacteremia with concomitant septic sacroiliitis in the setting of IVDU is an extremely rare presentation. Due to the nonspecific presentation of sacroiliitis, multidrug resistance profile of Serratia spp., and high mortality rate associated with S. marcescens sepsis, early detection and diagnosis is paramount in similar patients with extensive risk factors.

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Septic Sacroiliitis caused by Serratia marcescens

Cited by 3 publications

References 13 publications

Sacroileítis piógena en pediatría: reporte de caso y revisión de la literatura

Sacroileítis piógena en pediatría: reporte de caso y revisión de la literatura

Serratia marcescens Septic Arthritis and Osteomyelitis after COVID-19: A Case Report and Literature Review

Serratia Sacroiliitis Secondary to Intravenous Drug Use: A Case Report

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