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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.
Abstract:
The incidence of skin infections caused by Serratia marcescens is extremely low and such infections are typically observed in immunocompromised patients. The clinical manifestations of these infections include cellulitis, abscesses, fluctuant nodules, or granulomatous lesions. Infections caused by S. marcescens are very difficult to treat due to their resistance to many antibiotics, which often leads to specific and prolonged treatment. Infections after receiving a tattoo are very rare and are caused by unhygienic conditions or the inexperience of the tattooist. In this paper we present the case of a 32-year-old male with no comorbidity, who presented an abscess caused by S. marcescens in a area that was tattooed one month earlier. The case was resolved with surgery and antimicrobial therapy that was based on the antibiogram. To our knowledge, this is the first reported case of a S. marcescens skin infection following a tattoo, in the absence of immunosuppression.
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.
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