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Serratia fonticola, pathogen or bystander? A case series and review of the literature

Serratia fonticola is an unusual human pathogen, previously described primarily as causing skin and soft tissue infections following trauma. There is little information in the literature about its treatment or susceptibilities. We describe the case of a 67-year-old male with paraplegia who developed...

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Autores principales: Aljorayid, Abdullah, Viau, Roberto, Castellino, Laila, Jump, Robin L.P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4909719/
https://www.ncbi.nlm.nih.gov/pubmed/27347484
http://dx.doi.org/10.1016/j.idcr.2016.05.003
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author Aljorayid, Abdullah
Viau, Roberto
Castellino, Laila
Jump, Robin L.P.
author_facet Aljorayid, Abdullah
Viau, Roberto
Castellino, Laila
Jump, Robin L.P.
author_sort Aljorayid, Abdullah
collection PubMed
description Serratia fonticola is an unusual human pathogen, previously described primarily as causing skin and soft tissue infections following trauma. There is little information in the literature about its treatment or susceptibilities. We describe the case of a 67-year-old male with paraplegia who developed urosepsis due to S. fonticola. Blood and urine cultures obtained prior to the initiation of antimicrobials both grew S. fonticola. The patient completed a 15-day course of antimicrobials and had an uneventful recovery. We reviewed 17 other patients with clinical cultures positive for S. fonticola. Of these, 11 isolates were from the genitourinary system, most often as part of a polymicrobial culture. The majority of the other organisms recovered were recognized pathogens from the Enterobacteriaceae family. The cases suggest that when recovered in conjunction with other organisms, S. fonticola does not lead to enhanced virulence or worse clinical outcomes and may be a bystander. When detected alone, which is a rare occurrence, S. fonticola may function as a human pathogen.
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spelling pubmed-49097192016-06-26 Serratia fonticola, pathogen or bystander? A case series and review of the literature Aljorayid, Abdullah Viau, Roberto Castellino, Laila Jump, Robin L.P. IDCases Case Report Serratia fonticola is an unusual human pathogen, previously described primarily as causing skin and soft tissue infections following trauma. There is little information in the literature about its treatment or susceptibilities. We describe the case of a 67-year-old male with paraplegia who developed urosepsis due to S. fonticola. Blood and urine cultures obtained prior to the initiation of antimicrobials both grew S. fonticola. The patient completed a 15-day course of antimicrobials and had an uneventful recovery. We reviewed 17 other patients with clinical cultures positive for S. fonticola. Of these, 11 isolates were from the genitourinary system, most often as part of a polymicrobial culture. The majority of the other organisms recovered were recognized pathogens from the Enterobacteriaceae family. The cases suggest that when recovered in conjunction with other organisms, S. fonticola does not lead to enhanced virulence or worse clinical outcomes and may be a bystander. When detected alone, which is a rare occurrence, S. fonticola may function as a human pathogen. Elsevier 2016-05-24 /pmc/articles/PMC4909719/ /pubmed/27347484 http://dx.doi.org/10.1016/j.idcr.2016.05.003 Text en http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Aljorayid, Abdullah
Viau, Roberto
Castellino, Laila
Jump, Robin L.P.
Serratia fonticola, pathogen or bystander? A case series and review of the literature
title Serratia fonticola, pathogen or bystander? A case series and review of the literature
title_full Serratia fonticola, pathogen or bystander? A case series and review of the literature
title_fullStr Serratia fonticola, pathogen or bystander? A case series and review of the literature
title_full_unstemmed Serratia fonticola, pathogen or bystander? A case series and review of the literature
title_short Serratia fonticola, pathogen or bystander? A case series and review of the literature
title_sort serratia fonticola, pathogen or bystander? a case series and review of the literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4909719/
https://www.ncbi.nlm.nih.gov/pubmed/27347484
http://dx.doi.org/10.1016/j.idcr.2016.05.003
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