Skin Abscess due to Serratia marcescens in an Immunocompetent Patient after Receiving a Tattoo

J Diranzo García1, J Villodre Jiménez1, V Zarzuela Sánchez1

  • 1Servicio de Cirugía Ortopédica y Traumatología, Consorcio Hospital General Universitario de Valencia, Avenida Tres Cruces 2, 46014 Valencia, Spain.

Insights

This case report details a rare Serratia marcescens skin infection following a tattoo in an otherwise healthy individual. The infection, presenting as an abscess, was successfully treated with surgery and targeted antibiotics.

Area of Science:

  • Microbiology
  • Dermatology
  • Infectious Diseases

Background:

  • Serratia marcescens skin infections are uncommon, primarily affecting immunocompromised individuals.
  • Tattoo-associated infections are rare, often linked to poor hygiene or tattoo artist inexperience.

Purpose of the Study:

  • To report the first known case of Serratia marcescens skin infection after tattooing in an immunocompetent patient.
  • To highlight the clinical presentation and management of this rare infection.

Main Methods:

  • Case presentation of a 32-year-old male with a tattoo-associated abscess.
  • Diagnostic procedures included bacterial culture and antibiogram.
  • Treatment involved surgical intervention and antibiotic therapy guided by susceptibility testing.

Main Results:

  • An abscess caused by Serratia marcescens developed one month post-tattooing.
  • The patient had no underlying comorbidities or immunosuppression.
  • The infection resolved following surgical drainage and appropriate antimicrobial treatment.

Conclusions:

  • Serratia marcescens can cause skin infections in immunocompetent individuals following tattooing.
  • Prompt diagnosis and targeted antimicrobial therapy are crucial for successful treatment.
  • This case underscores the importance of sterile techniques in tattooing procedures.

Related Concept Videos

Staphylococcal Skin Infections01:29

Staphylococcal Skin Infections

Staphylococcus aureus is a Gram-positive coccus that resides harmlessly on the skin and mucous membranes of healthy individuals. When the skin barrier is breached, it can shift from a commensal to an opportunistic pathogen. This transition is facilitated by surface adhesins, such as clumping factor B and S. aureus surface protein G (SasG), which bind to structural proteins, including loricrin and cytokeratin, in the damaged epidermis. Protein A, another key factor, binds the Fc region of...
72
Skin Diseases and Disorders01:23

Skin Diseases and Disorders

Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
6.2K
Acne Infection01:27

Acne Infection

Acne is a multifactorial skin condition primarily affecting adolescents and young adults, with a global prevalence estimated to exceed 75% in this demographic. The condition is characterized by the formation of comedones (blackheads and whiteheads), papules, pustules, nodules, and, in severe cases, cysts, particularly in areas rich in sebaceous glands such as the face, neck, chest, and back. The pathogenesis involves increased sebum production, follicular hyperkeratinization, colonization by...
52
The Skin Microbiota01:27

The Skin Microbiota

The human skin serves as a complex ecosystem inhabited by a diverse community of microorganisms, including bacteria, fungi, and viruses. This microbiome plays a critical role in maintaining skin health and defending against pathogenic invaders. The composition of microbial communities varies significantly across different regions of the body, influenced primarily by the local levels of moisture and sebum.Regional Variation in Skin MicrobiotaCutibacterium acnes predominantly colonizes sebaceous...
53