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

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 infect...

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Autores principales: Sharma, Vineeta, Angrup, Archana, Verma, Santwana, Singh, DigVijay, Kanga, Anil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Microbiology Society 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5415932/
https://www.ncbi.nlm.nih.gov/pubmed/28663809
http://dx.doi.org/10.1099/jmmcr.0.003228
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author Sharma, Vineeta
Angrup, Archana
Verma, Santwana
Singh, DigVijay
Kanga, Anil
author_facet Sharma, Vineeta
Angrup, Archana
Verma, Santwana
Singh, DigVijay
Kanga, Anil
author_sort Sharma, Vineeta
collection PubMed
description 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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spelling pubmed-54159322017-06-29 Community-acquired cutaneous ulcer in a child caused by Serratia marcescens Sharma, Vineeta Angrup, Archana Verma, Santwana Singh, DigVijay Kanga, Anil JMM Case Rep Case Report 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. Microbiology Society 2014-12-01 /pmc/articles/PMC5415932/ /pubmed/28663809 http://dx.doi.org/10.1099/jmmcr.0.003228 Text en © 2014 The Authors http://creativecommons.org/licenses/by/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0/).
spellingShingle Case Report
Sharma, Vineeta
Angrup, Archana
Verma, Santwana
Singh, DigVijay
Kanga, Anil
Community-acquired cutaneous ulcer in a child caused by Serratia marcescens
title Community-acquired cutaneous ulcer in a child caused by Serratia marcescens
title_full Community-acquired cutaneous ulcer in a child caused by Serratia marcescens
title_fullStr Community-acquired cutaneous ulcer in a child caused by Serratia marcescens
title_full_unstemmed Community-acquired cutaneous ulcer in a child caused by Serratia marcescens
title_short Community-acquired cutaneous ulcer in a child caused by Serratia marcescens
title_sort community-acquired cutaneous ulcer in a child caused by serratia marcescens
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5415932/
https://www.ncbi.nlm.nih.gov/pubmed/28663809
http://dx.doi.org/10.1099/jmmcr.0.003228
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