Leg ulcers and abscesses caused by Serratia marcescens

Langrock, Marie-Luise and Linde, Hins-Joerg and Landthaler, Michael and Karrer, Sigrid (2008) Leg ulcers and abscesses caused by Serratia marcescens. EUROPEAN JOURNAL OF DERMATOLOGY, 18 (6). pp. 705-707. ISSN 1167-1122, 1952-4013

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Abstract

Cutaneous infections caused by S. marcescens, a gram-negative bacillus belonging to the family of Enterobacteriaceae, are uncommon but may be predisposed by immunocompromised conditions or pre-damaged skin. A 73-year-old man presented with multiple ulcers and painful nodules on the lower right leg as well as abscesses on the right malleolus lateralis. He had been treated with oral penicillin without success. Due to chronic obstructive pulmonary disease, he was receiving a systemic therapy with corticosteroids. In addition, he had a post-thrombotic syndrome of the lower right leg. Serratia marcescens was the only microorganism isolated from all Cultures performed. After a microbial sensitivity test, ertapenem 1 g/day was given intravenously for 10 days, followed by oral administration of ciprofloxacin 500 mg 1-0-1 for a further 7 days. This therapy resulted in the resolution of all lesions. This rare skin infection with S. marcescens needs specific microbiological diagnosis and adapted antibiosis.

Item Type: Article
Uncontrolled Keywords: INFECTION; CELLULITIS; SKIN; ertapenem; nosocomial infections; painful nodules; Serratia; microbiological diagnosis; antibiosis
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Dermatologie und Venerologie
Medicine > Lehrstuhl für Medizinische Mikrobiologie und Hygiene
Depositing User: Dr. Gernot Deinzer
Date Deposited: 19 Oct 2020 09:22
Last Modified: 19 Oct 2020 09:22
URI: https://pred.uni-regensburg.de/id/eprint/30092

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