Bahadir Aysenur, Erduran Erol
Department of Pediatric Hematology-Oncology, Karadeniz Technical University Faculty of Medicine, Trabzon, Turkey.
North Clin Istanb. 2015 Apr 24;2(1):55-58. doi: 10.14744/nci.2015.27928. eCollection 2015.
According to the literature, skin manifestations related to Serratia marcessens infections are rarely seen, and observed mostly in immunosuppressed adult patients. Cellulitis, abscess, granulomataus lesions have been reported as skin manifestations of Serratia infections. In our 2 cases with leukemia, papillovesicular rashes were observed resembling those of varicella zoster infection. Serratia marcessens was grown on blood cultures of patients susceptible to meropenem. The patients recovered from the rashes rapidly after treatment. Based on the absence of similar case reports in the literature, we report these two pediatric cases to emphasize that Serratia marcessens infections can present with papillovesicular rash similar to that seen in varicella zoster infections.
根据文献记载,与粘质沙雷氏菌感染相关的皮肤表现很少见,且大多在免疫抑制的成年患者中观察到。蜂窝织炎、脓肿、肉芽肿性病变已被报道为粘质沙雷氏菌感染的皮肤表现。在我们的2例白血病患者中,观察到了类似水痘带状疱疹感染的丘疹水疱性皮疹。在对美罗培南敏感的患者血培养中培养出了粘质沙雷氏菌。治疗后患者的皮疹迅速消退。基于文献中没有类似病例报告,我们报告这两例儿科病例,以强调粘质沙雷氏菌感染可出现类似于水痘带状疱疹感染的丘疹水疱性皮疹。