Do Stephen, Rebentish Alka, Ravichandran Kumar Preethi
Medicine, Touro University Nevada, Henderson, USA.
Cureus. 2023 Sep 15;15(9):e45319. doi: 10.7759/cureus.45319. eCollection 2023 Sep.
spp.-induced cutaneous infections are rare, with only 17 reported cases in the literature. spp. behave like low-grade opportunistic pathogens, with symptomatic infections observed typically in severely immunocompromised patients and seldom in immunocompetent patients. In this paper, we present an immunocompetent 61-year old male with a past medical history of hypertension, hyperlipidemia, morbid obesity, and patient-reported peripheral neuropathy who presented to the transitional care clinic with bilateral lower extremity swelling and hemosiderin-pigmented dry wounds consistent with diagnosis of chronic venous stasis dermatitis with resolved secondary infection. Further literature review about spp. and its resistance mechanism, antibiotic susceptibility, and biofilm production are also included in this paper.
spp. 引起的皮肤感染很少见,文献中仅报道了17例病例。spp. 表现为低度机会性病原体,有症状的感染通常在严重免疫功能低下的患者中观察到,而在免疫功能正常的患者中很少见。在本文中,我们介绍了一名61岁免疫功能正常的男性,他有高血压、高脂血症、病态肥胖病史,患者自述有周围神经病变,因双侧下肢肿胀和含铁血黄素色素沉着的干性伤口就诊于过渡护理诊所,符合慢性静脉淤滞性皮炎伴继发性感染已消退的诊断。本文还包括了关于spp. 及其耐药机制、抗生素敏感性和生物膜形成的进一步文献综述。