Severe soft tissue infection in a patient with type 2 diabetes mellitus caused by Serratia marcescens as single pathogen

Authors

  • Anna Biscoe FY2 Doctor, Aberdeen Royal Infirmary, UK
  • Lukman Hakeem Consultant in Infectious Diseases and Acute Medicine Aberdeen Royal

DOI:

https://doi.org/10.15277/bjd.2016.111

Keywords:

marcescens, soft tissue infection, cellulitis, necrotising fasciitis, diabetes

Abstract

Serratia marcescens is a rare cause of soft tissue infection. However, it has been increasingly recognised as a pathogen causing infection in both immunocompromised patients and in patients in an intensive treatment unit setting. Here we describe an elderly patient with type 2 diabetes mellitus presenting with severe necrotic soft tissue infection due to S. marcescens acquired in the community. The literature on S. marcescens soft tissue infection is reviewed and management is discussed.

References

Herra C, Falkiner FR. Serratia marcescens. Cited 8 June 2015. Available at: http://www.antimicrobe.org/b26.asp.

Anía BJ. Serratia medication. Cited 8 June 2015. Available at: http://emedicine.medscape.com/article/228495-medication 1.

Rehman T, Moore TA, Seoane L. Serratia marcescens necrotizing fasciitis presenting as bilateral breast necrosis. J Clin Microbiol 2012;50:3406-08. http://dx.doi.org/10.1128/JCM.00843-12

Brenner DE, Lookingbill DP. Serratia marcescens cellulites. Arch Dermatol 1977; 113:1599-600. https://doi.org/10.1001/archderm.1977.01640110119023

Bonner MJ, Meharg JG. Primary cellulitis due to Serratia marcescens. JAMA 1983;250:2348-9. https://doi.org/10.1001/jama.1983.03340170074034

Rimailho A, Riou B, Richard C, Auzepy P. Fulminant necrotizing fasciitis and nonsteroidal anti-inflammatory drugs. J Infect Dis 1987;155:143-5. https://doi.org/10.1093/infdis/155.1.143

Kaplan H, Sehtman L, Ricover N, Slatkis D, Lacentre E. Serratia marcescens: cutaneous involvement. Preliminary report. Med Cutan Ibero Lat Am 1988;16:305-08.

Bogaert MA, Hogan DJ, Miller AE Jr. Serratia cellulitis and secondary infection of leg ulcer by Serratia. J Am Acad Dermatol 1991;25:563. https://doi.org/10.1016/S0190-9622(08)80414-8

Bornstein PF, Ditto AM, Noskin GA. Serratia marcescens cellulitis in a patient on hemodialysis. Am J Nephrol 1992;12:374-96. https://doi.org/10.1159/000168475

Zipper RP, Bustamante MA, Khatib R. Serratia marcescens: a single pathogen in necrotizing fasciitis. Clin Infect Dis 1996;23:648-9. https://doi.org/10.1093/clinids/23.3.648

Cooper CL, Wiseman M, Brunham R. Bullous cellulitis caused by Serratia marcescens. Int J Infect Dis 1998;3:36-8. https://doi.org/10.1016/S1201-9712(98)90093-5

Liangpunsakul S, Pursell K. Community-acquired necrotizing fasciitis caused by Serratia marcescens: case report and review. Eur J Clin Microbiol Infect Dis 2001;20:509-21. https://doi.org/10.1007/PL00011294

Huang JW, Fang CT, Hung KY, et al. Necrotizing fasciitis caused by Serratia marcescens in two patients receiving corticosteroid therapy. J Formos Med Assoc 1999;98:851-4.

Crum NF, Wallace MR. Serratia marcescens cellulitis: a case report and review of the literature. Infect Dis Clin Pract 2002;11:550-4. https://doi.org/10.1097/01.idc.0000090385.89010.75

Bachmeyer C, Sanguina M, Turc Y, Reynaert G, Blum L. Necrotizing fasciitis due to Serratia marcescens. Clin Exp Dermatol 2004;29:673-4. http://dx.doi.org/10.1111/j.1365-2230.2004.01597.x

Curtis CE, Chock S, Henderson T, Holman MJ. A fatal case of necrotizing fasciitis caused by Serratia marcescens. Am Surgeon 2005;71:228-30.

Cope TE, Cope W, Beaumont DM. A case of necrotising fasciitis caused by Serratia marsescens: extreme age as functional immunosuppression? Age Ageing 2013;42:266-8. http://dx.doi.org/10.1093/ageing/afs198

Vano‐Galvan S, Álvarez-Twose I, Moreno-Martín P, Jaén P. Fulminant necrotizing fasciitis caused by Serratia marcescens in an immunosuppressed host. Int J Dermatol 2014;53:e57–e58. http://dx.doi.org/10.1111/j.1365-4632.2011.05440.x

Subramani P, Narasimhamurthy GB, Ashokan B, Madappa BP. Serratia marcescens: an unusual pathogen associated with snakebite cellulitis. J Infect Dev Ctries 2013;7:152-4. http://dx.doi.org/10.3855/jidc.2586

Zhu S, Singh A, Raoof N. Community acquired severe soft tissue infection due to Serratia marcescens in an immunocompetent host. Chest 2014;146(4_MeetingAbstracts):141A. http://dx.doi.org/10.1378/chest.1994826

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Published

2016-12-20

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Section

Case Reports