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A rare occurrence of Serratia rubidaea in a patient with ear discharge
Vimal Kumar Karnaker1, Asem Ali Ashraf1, Sreelatha Shankaran Veetil2
1Department of Microbiology, KS Hegde Medical Academy (KSHEMA), Nitte (Deemed to be University), Mangalore, Karnataka, India.
Abstract:
Serratia species are not as frequent as with more virulent members of the Enterobacteriaceae. However, when infections do arise, they are largely associated with Serratia marcescens. Presently, about 10 species of Serratia are recognized and infections caused by the remaining Serratia species are seldom recorded in literature, as they are not often isolated from clinical specimens. This is a case report of Serratia rubidaea isolated from ear discharge of a 35-year old female patient with no co-morbidities and with known history of chronic otomastoiditis for which the patient had undergone left modified radical mastoidectomy. Isolation of this bacterium from clinical specimens is rare; however, it can be an etiological agent for infections in patients who have undergone invasive procedures. The patient was managed with antibiotics and on otoendoscopy at follow-up, no discharge was observed.
Insights
Serratia rubidaea, a rare bacterium, was identified in ear discharge from a patient with chronic otomastoiditis. This case highlights its potential role in infections following invasive procedures.
Area of Science:
- Microbiology
- Clinical Medicine
- Infectious Diseases
Background:
- Serratia species, part of the Enterobacteriaceae family, are infrequently implicated in human infections compared to more virulent strains.
- While Serratia marcescens is the most common species causing infections, approximately 10 Serratia species are recognized, with others rarely reported in clinical settings.
- Infections due to less common Serratia species are seldom documented, often due to their infrequent isolation from patient samples.
Observation:
- This report details a case of Serratia rubidaea isolated from the ear discharge of a 35-year-old female patient.
- The patient presented with a history of chronic otomastoiditis and had previously undergone a left modified radical mastoidectomy.
- Notably, the patient had no other significant co-morbidities.
Findings:
- The isolation of Serratia rubidaea from clinical specimens, such as ear discharge, is considered rare.
- This finding suggests that Serratia rubidaea can act as an etiological agent in post-operative or invasive procedure-related infections.
- The patient received antibiotic treatment for the infection.
Implications:
- This case underscores the importance of considering less common Serratia species in the differential diagnosis of infections, particularly in patients with a history of invasive procedures.
- Recognizing Serratia rubidaea as a potential pathogen can guide appropriate antimicrobial therapy and improve patient outcomes.
- Further surveillance and case reporting are needed to fully understand the clinical significance and pathogenic potential of rare Serratia species.
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