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Community-acquired bacteremic cellulitis caused by Acinetobacter baumannii.
Wen-Chu Chiang1, Chan-Ping Su, Chiung-Yuan Hsu
1Department of Emergency Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.
Journal of the Formosan Medical Association = Taiwan Yi Zhi
|November 20, 2003
Summary
Acinetobacter baumannii, a rare cause of community skin infections, was identified in a severe leg infection. Prompt meropenem treatment led to complete recovery, highlighting its potential role in complicated skin infections.
Area of Science:
- Infectious Diseases
- Microbiology
- Dermatology
Background:
- Acinetobacter baumannii is typically associated with hospital-acquired infections.
- Community-acquired skin and soft tissue infections (SSTIs) are usually caused by other pathogens.
Observation:
- A 79-year-old male presented with a 3-day history of fever, left leg pain, and swelling near a decade-old dog bite scar.
- Blood and wound cultures isolated Acinetobacter baumannii.
Findings:
- The patient initially worsened but showed complete recovery after three weeks of meropenem therapy.
- Acinetobacter baumannii was confirmed as the causative agent of the complicated skin infection.
Implications:
- This case expands the known spectrum of Acinetobacter baumannii infections.
- It suggests Acinetobacter baumannii should be considered in the differential diagnosis of severe community-acquired SSTIs.
- Highlights the importance of microbiological diagnostics in unusual community infections.