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Serratia marcescens: an unusual pathogen associated with snakebite cellulitis
Author(s) -
Parimala Subramani,
Gokul Bindiganavile Narasimhamurthy,
Bhaskaran Ashokan,
Beena Prasavangada Madappa
Publication year - 2013
Publication title -
the journal of infection in developing countries
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.322
H-Index - 49
eISSN - 2036-6590
pISSN - 1972-2680
DOI - 10.3855/jidc.2586
Subject(s) - serratia marcescens , cellulitis , medicine , ciprofloxacin , debridement (dental) , surgical debridement , surgery , dermatology , microbiology and biotechnology , antibiotics , biology , biochemistry , escherichia coli , gene
This study reports a case of Serratia marcescens cellulitis following a snakebite in a 50-year-old woman. The bite was on the dorsum of the right hand with symptoms of envenomation. She developed swelling and cellulitis with tissue necrosis. Wound debridement was performed.  Pus and tissue biopsy cultures yielded Serratia marcescens sensitive to fluoroquinolones, aminoglycosides, third-generation cephalosporins and carbapenems. The patient responded to anti-snake venom (ASV) therapy, ciprofloxacin, local wound management and recovered uneventfully.

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