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Serratia marcescens: an unusual pathogen associated with snakebite cellulitis
Parimala Subramani1, Gokul Bindiganavile Narasimhamurthy, Bhaskaran Ashokan
1Department of Microbiology, Sri Devaraj Urs Academy of Higher Education and Research, Tamaka, Kolar, India . mjchand@gmail.com
A Serratia marcescens infection complicated a snakebite, causing cellulitis and necrosis. Prompt treatment with anti-snake venom and antibiotics led to a full recovery.
Area of Science:
- Infectious Diseases
- Toxicology
- Dermatology
Background:
- Snakebites can lead to secondary bacterial infections.
- Serratia marcescens is an opportunistic pathogen.
- Cellulitis and tissue necrosis are potential complications of envenomation.
Observation:
- A 50-year-old woman presented with a snakebite on her right hand.
- Symptoms included envenomation, swelling, cellulitis, and tissue necrosis.
- Pus and tissue biopsy cultures identified Serratia marcescens.
Findings:
- The isolated Serratia marcescens was susceptible to fluoroquinolones, aminoglycosides, third-generation cephalosporins, and carbapenems.
- The patient received anti-snake venom (ASV) therapy and ciprofloxacin.
- Local wound management was also administered.
Implications:
- This case highlights the importance of monitoring for and treating secondary bacterial infections after snakebites.
- Serratia marcescens can be a causative agent in severe post-snakebite infections.
- Multimodal treatment including ASV, targeted antibiotics, and wound care is crucial for favorable outcomes.
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