title: Spontaneous dermal abscesses and ulcers as a result of Serratia marcescens.
abstract: Serratia sp have only rarely been reported as isolates from leg ulcers. We describe the case of a middle-aged man with a medical history significant for alcohol-induced cirrhosis who presented with rapidly progressive skin ulcers initially starting as purple nodules. These skin ulcers and underlying dermal abscesses were found to be a result of S marcescens, with the presumed portal of entry being a toe-web infection.
authors.affiliation: Division of Infectious Diseases, Duke University Medical Center, Durham, NC 27710, USA.
authors.forename: N Deborah
authors.initials: ND
authors.lastname: Friedman
authors.forename: Neeraja B
authors.initials: NB
authors.lastname: Peterson
authors.forename: William T
authors.initials: WT
authors.lastname: Sumner
authors.forename: Barbara D
authors.initials: BD
authors.lastname: Alexander
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D000208:Acute Disease; D000900:Anti-Bacterial Agents; D001707:Biopsy, Needle; D003131:Combined Modality Therapy; D004322:Drainage / Q000379:methods; D004359:Drug Therapy, Combination / Q000008:administration & dosage; D005500:Follow-Up Studies; D006801:Humans; D007871:Leg Ulcer / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D018570:Risk Assessment; D016868:Serratia Infections / Q000175:diagnosis* / Q000188:drug therapy; D012706:Serratia marcescens / Q000302:isolation & purification*; D012720:Severity of Illness Index; D012883:Skin Ulcer / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents