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Skin Abscess due to Serratia marcescens in an Immunocompetent Patient after Receiving a Tattoo.

Diranzo García J, Villodre Jiménez J, Zarzuela Sánchez V, Castillo Ruiperez L, Bru Pomer A - Case Rep Infect Dis (2015)

Bottom Line: In this paper we present the case of a 32-year-old male with no comorbidity, who presented an abscess caused by S. marcescens in a area that was tattooed one month earlier.The case was resolved with surgery and antimicrobial therapy that was based on the antibiogram.To our knowledge, this is the first reported case of a S. marcescens skin infection following a tattoo, in the absence of immunosuppression.

View Article: PubMed Central - PubMed

Affiliation: Servicio de Cirugía Ortopédica y Traumatología, Consorcio Hospital General Universitario de Valencia, Avenida Tres Cruces 2, 46014 Valencia, Spain.

ABSTRACT
The incidence of skin infections caused by Serratia marcescens is extremely low and such infections are typically observed in immunocompromised patients. The clinical manifestations of these infections include cellulitis, abscesses, fluctuant nodules, or granulomatous lesions. Infections caused by S. marcescens are very difficult to treat due to their resistance to many antibiotics, which often leads to specific and prolonged treatment. Infections after receiving a tattoo are very rare and are caused by unhygienic conditions or the inexperience of the tattooist. In this paper we present the case of a 32-year-old male with no comorbidity, who presented an abscess caused by S. marcescens in a area that was tattooed one month earlier. The case was resolved with surgery and antimicrobial therapy that was based on the antibiogram. To our knowledge, this is the first reported case of a S. marcescens skin infection following a tattoo, in the absence of immunosuppression.

No MeSH data available.


Related in: MedlinePlus

MRI (coronal T1 and STIR) showing a collection of 51 × 23 mm with bone edema in the humerus supratrochlear region with apparent cortical integrity.
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fig1: MRI (coronal T1 and STIR) showing a collection of 51 × 23 mm with bone edema in the humerus supratrochlear region with apparent cortical integrity.

Mentions: The patient was admitted into the hospital and was treated with empirical antibiotic therapy: amoxicillin/clavulanic acid 1 g/200 mg IV + clindamycin 600 mg IV every 8 hours. To assess surgical drainage, we requested an MRI, on which a collection of 51 × 23 mm was identified. In addition, the MRI revealed bone edema in the humerus supratrochlear region with apparent cortical integrity (Figures 1 and 2).


Skin Abscess due to Serratia marcescens in an Immunocompetent Patient after Receiving a Tattoo.

Diranzo García J, Villodre Jiménez J, Zarzuela Sánchez V, Castillo Ruiperez L, Bru Pomer A - Case Rep Infect Dis (2015)

MRI (coronal T1 and STIR) showing a collection of 51 × 23 mm with bone edema in the humerus supratrochlear region with apparent cortical integrity.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4555453&req=5

fig1: MRI (coronal T1 and STIR) showing a collection of 51 × 23 mm with bone edema in the humerus supratrochlear region with apparent cortical integrity.
Mentions: The patient was admitted into the hospital and was treated with empirical antibiotic therapy: amoxicillin/clavulanic acid 1 g/200 mg IV + clindamycin 600 mg IV every 8 hours. To assess surgical drainage, we requested an MRI, on which a collection of 51 × 23 mm was identified. In addition, the MRI revealed bone edema in the humerus supratrochlear region with apparent cortical integrity (Figures 1 and 2).

Bottom Line: In this paper we present the case of a 32-year-old male with no comorbidity, who presented an abscess caused by S. marcescens in a area that was tattooed one month earlier.The case was resolved with surgery and antimicrobial therapy that was based on the antibiogram.To our knowledge, this is the first reported case of a S. marcescens skin infection following a tattoo, in the absence of immunosuppression.

View Article: PubMed Central - PubMed

Affiliation: Servicio de Cirugía Ortopédica y Traumatología, Consorcio Hospital General Universitario de Valencia, Avenida Tres Cruces 2, 46014 Valencia, Spain.

ABSTRACT
The incidence of skin infections caused by Serratia marcescens is extremely low and such infections are typically observed in immunocompromised patients. The clinical manifestations of these infections include cellulitis, abscesses, fluctuant nodules, or granulomatous lesions. Infections caused by S. marcescens are very difficult to treat due to their resistance to many antibiotics, which often leads to specific and prolonged treatment. Infections after receiving a tattoo are very rare and are caused by unhygienic conditions or the inexperience of the tattooist. In this paper we present the case of a 32-year-old male with no comorbidity, who presented an abscess caused by S. marcescens in a area that was tattooed one month earlier. The case was resolved with surgery and antimicrobial therapy that was based on the antibiogram. To our knowledge, this is the first reported case of a S. marcescens skin infection following a tattoo, in the absence of immunosuppression.

No MeSH data available.


Related in: MedlinePlus