Infect Chemother.  2008 Dec;40(6):330-332. 10.3947/ic.2008.40.6.330.

Deep Cutaneous Ulcer Caused by Serratia marcescens after Fresh Water Exposure

Affiliations
  • 1Department of Internal Medicine, College of Medicine, Inha University, Incheon, Korea. ljinsoo@medimail.co.kr
  • 2Department of Laboratory Medicine, College of Medicine, Inha University, Incheon, Korea.

Abstract

Serratia marcescens causes various diseases. Skin ulcer is one of S. marcescens related diseases, but it is rare clinical syndrome. We experienced a case of skin ulcer caused by S. marcescens in a woman with alcohol induced cirrhosis. After exposure to fresh water while trimming the codfish, she developed deep ulcer on her right hand and bacteremia by S. marcescens. S. marcescens should be considered as a specific etiology of skin infection presenting after fresh water exposure.

Keyword

Serratia marcescens; Ulcer; Abscess; Alcoholic liver disease

MeSH Terms

Abscess
Bacteremia
Female
Fibrosis
Fresh Water
Hand
Humans
Liver Diseases, Alcoholic
Serratia
Serratia marcescens
Skin
Skin Ulcer
Ulcer

Figure

  • Figure 1 (A) The photograph on admission shows the puncture site by thorn of codfish and swelling of right thumb and adjacent soft tissue. (B) Three days after admission, right hand shows deep ulceration with undermined margin.


Reference

1. Donnenberg MS. Mandell GL, Bennett JE, Dolin R, editors. Enterobacteriaceae. Mandell, Douglas, and Bennett's principles and practice of infectious diseases. 2005. 6th ed. Philadelphia: Churchill Livingstone;2567.
2. Liangpunsakul S, Pursell K. Community-acquired necrotizing fasciitis caused by Serratia marcescens: case report and review. Eur J Clin Microbiol Infect Dis. 2001. 20:509–510.
Article
3. Friedman ND, Peterson NB, Sumner WT, Alexander BD. Spontaneous dermal abscesses and ulcers as a result of Serratia marcescens. J Am Acad Dermatol. 2003. 49:S193–S194.
Article
4. Yu VL. Serratia marcescens: historical perspective and clinical review. N Engl J Med. 1979. 300:887–893.
5. Roth RR, James WD. Microbiology of the skin: resident flora, ecology, infection. J Am Acad Dermatol. 1989. 20:367–390.
Article
6. Joo AM, Serrano PN, Cacho MP, Brtolo EA, Brando FM. Recurrent Serratia marcescens cutaneous infection manifesting as painful nodules and ulcers. J Am Acad Dermatol. 2008. 58:S55–S57.
7. Curtis CE, Chock S, Henderson T, Holman MJ. A fatal case of necrotizing fasciitis caused by Serratia marcescens. Am Surg. 2005. 71:228–230.
Article
8. Bornstein PF, Ditto AM, Noskin GA. Serratia marcescens cellulitis in a patient on hemodialysis. Am J Nephrol. 1992. 12:374–376.
Article
9. MacGregor RR, Louria DB. Alcohol and infection. Curr Clin Top Infect Dis. 1997. 17:291–315.
10. Wyke RJ. Problems of bacterial infection in patients with liver disease. Gut. 1987. 28:623–641.
Article
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