Escherichia coli chest-wall hemorrhagic cellulitis associated with central-line placement.
Cellulitis is a common clinical entity. Hemorrhagic cellulitis is distinctly unusual and is most frequent in compromised hosts. In normal or near normal hosts, hemorrhagic cellulitis may rarely complicate gram-negative sepsis. Usually, hemorrhagic cellulitis occurs below the waist. The differential diagnosis includes invasive streptococcal infection, mixed aerobic and anaerobic infection, gram-negative sepsis, and gross gangrene. We present the first-known case of Escherichia coli chest-wall hemorrhagic cellulitis associated with a central line in a patient with renal failure.
Hansen
E A
EA
Infectious Disease Division, Winthrop-University Hospital, Mineola, New York 11501, USA.
Cunha
B A
BA
D000368:Aged; D001132:Arm; D001166:Arteriovenous Shunt, Surgical / Q000295:instrumentation; D002405:Catheterization, Central Venous / Q000295:instrumentation*; D002408:Catheters, Indwelling; D002481:Cellulitis / Q000175:diagnosis*; D003428:Cross Infection / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004927:Escherichia coli Infections / Q000175:diagnosis*; D005260:Female; D006470:Hemorrhage / Q000175:diagnosis*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D006435:Renal Dialysis / Q000295:instrumentation; D013909:Thorax