Serratia marcescens bullous cellulitis after iguana bites

Grim, Kelli D; Doherty, Christy B; Rosén, Ted

doi:10.1016/j.jaad.2009.07.009

Cited by 17 publications

(13 citation statements)

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“…A majority of the injuries often involve the upper extremities (commonly fingers) and face (14, 79a). Data on the microbiology of infected human wounds from iguana bites are restricted to a few case reports (101,117). An 8-year-old boy was bitten on his left index finger and developed purulent cellulitis that grew Serratia marcescens and Staphylococcus aureus (117).…”

Section: Reptilesmentioning

confidence: 99%

“…An 8-year-old boy was bitten on his left index finger and developed purulent cellulitis that grew Serratia marcescens and Staphylococcus aureus (117). Two cases of Serratia marcescens bullous cellulitis in adults following iguana bites have also been reported (101). It is noteworthy that Serratia species is commonly resistant to aminopenicillins, an antibiotic class commonly prescribed for animal bites.…”

Section: Reptilesmentioning

confidence: 99%

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Microbiology of Animal Bite Wound Infections

2011

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SUMMARY The microbiology of animal bite wound infections in humans is often polymicrobial, with a broad mixture of aerobic and anaerobic microorganisms. Bacteria recovered from infected bite wounds are most often reflective of the oral flora of the biting animal, which can also be influenced by the microbiome of their ingested prey and other foods. Bacteria may also originate from the victim's own skin or the physical environment at the time of injury. Our review has focused on bite wound infections in humans from dogs, cats, and a variety of other animals such as monkeys, bears, pigs, ferrets, horses, sheep, Tasmanian devils, snakes, Komodo dragons, monitor lizards, iguanas, alligators/crocodiles, rats, guinea pigs, hamsters, prairie dogs, swans, and sharks. The medical literature in this area has been made up mostly of small case series or case reports. Very few studies have been systematic and are often limited to dog or cat bite injuries. Limitations of studies include a lack of established or inconsistent criteria for an infected wound and a failure to utilize optimal techniques in pathogen isolation, especially for anaerobic organisms. There is also a lack of an understanding of the pathogenic significance of all cultured organisms. Gathering information and conducting research in a more systematic and methodical fashion through an organized research network, including zoos, veterinary practices, and rural clinics and hospitals, are needed to better define the microbiology of animal bite wound infections in humans.

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Section: Reptilesmentioning

confidence: 99%

Section: Reptilesmentioning

confidence: 99%

Microbiology of Animal Bite Wound Infections

2011

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“…Most of the soft-tissue infections by S. marcescens have no definite portal of entry, although various authors have suggested that previous injury, animal bites and ulcers can act as routes of entry (Bogaert et al , 1991; Grim et al , 2010). In our case, we presume that the child had itching after an insect bite, which damaged the skin and acted as the portal of entry.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2014

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Introduction:Serratia marcescens is a Gram-negative, aerobic, motile bacillus belonging to the family Enterobacteriaceae. S. marcescens has been implicated in different types of infections including urinary tract infection, septicaemia, meningitis and wound infections. Very few cases of skin infections caused by this organism have been reported in the medical literature. S. marcescens is an important nosocomial pathogen but has rarely been implicated as a cause of community-acquired soft-tissue infections.Case presentation:We present a rare case of a community-acquired spontaneous cutaneous ulcer in an immunocompetent child from a sub-Himalayan region. Infections caused by S. marcescens may be difficult to treat because of its ability to produce a β-lactamase, which confers resistance to broad-spectrum, β-lactam antibiotics.Conclusion:In our patient, the treatment was modified to ceftazidime and amikacin after sensitivity testing and the patient’s condition improved. This necessitated isolation by culture and antimicrobial susceptibility testing to ensure appropriate therapy.

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“…15 Cases of primary myositis (eg, not due to extension from infected joints or tendons) attributed to aerobic gram-negative bacteria, and specifically S marcescens, are uncommon among humans and other animals. Serratia marcescens was the predominant isolate in several cases of cellulitis in humans following iguana bites, 16,17 and there is a single report 18 of S marcescens myositis in a human with multiple myeloma. The bacterium caused necrotizing myositis in a kidney transplant recipient also.…”

Section: Commentsmentioning

confidence: 99%

Pathology in Practice

Ej¹,

Tj²,

Ap³

2015

javma

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HistoryAn 18-month-old 5.18-kg (11.4-lb) neutered male domestic shorthair cat kept predominantly indoors was evaluated because of lameness and unwillingness to jump of 5 days' duration. Extensive swelling of the right pelvic limb from the hip region to the digits was evident. A 6-cm-diameter abscess (containing 3 mL of purulent fluid) was present in the lateral and caudal thigh area, affecting the biceps femoris, semitendinosus, and semimembranosus muscles and overlying skin. A foreign body was not identified on surgical exploration of the abscess. The cat' s vaccination status was reportedly current, including vaccination against FeLV. Three days later, a second abscess (5 cm in diameter) was detected over the right dorsolateral portion of the sacrum. Surgi-

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Serratia marcescens bullous cellulitis after iguana bites

Cited by 17 publications

References 4 publications

Microbiology of Animal Bite Wound Infections

Microbiology of Animal Bite Wound Infections

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

Pathology in Practice

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