Gram-Negative Cellulitis Complicating Cirrhosis

Horowitz, Yael; Sperber, Ami D.; Almog, Yaniv
February 2004
Mayo Clinic Proceedings;Feb2004, Vol. 79 Issue 2, p247
Academic Journal
Gram-negative infections are common in patients with cirrhosis, but skin infections are usually caused by grampositive cocci. Gram-negative bacteria should be considered as a potential etiologic agent in patients with cirrhosis and severe bullous cellulitis. Culture of the bullous fluid may facilitate diagnosis and management. Early recognition is important because the course of the disease is usually rapid and fatal. We report 4 cases of fulminant gramnegative bullous cellulitis and septic shock in patients with cirrhosis. MELD = model for end-stage liver disease; MICU = medical intensive care unit.


Related Articles

  • Cronobacter: an emerging opportunistic pathogen associated with neonatal meningitis, sepsis and necrotizing enterocolitis. Hunter, C J; Bean, J F // Journal of Perinatology;Aug2013, Vol. 33 Issue 8, p581 

    Members of the genus Cronobacter are an emerging group of opportunist Gram-negative pathogens. This genus was previously thought to be a single species, called Enterobacter sakazakii. Cronobacter spp. typically affect low-birth-weight neonates, causing life-threatening meningitis, sepsis and...

  • Management of Brucella-Induced Thrombocytopenic Purpura. Özen, Metehan; Özgen, Ünsal; Güngör, Serdal // Journal of Pediatric Infection / Cocuk Enfeksiyon Dergisi;Jun2009, Vol. 3 Issue 2, p83 

    Brucellar infections are still a major public health issue in Mediterranean countries. Brucellosis may cause hematological abnormalities, particularly cytopenias. Severe thrombocytopenia leading to mucosal bleeding and purpuric rash is relatively infrequent. We herewith present three patients...

  • Calcium-dependent potentiation of the pro-inflammatory functions of human neutrophils by tigecycline in vitro. Cockeran, Riana; Mutepe, Ndiafhi D.; Theron, Annette J.; Tintinger, Gregory R.; Steel, Helen C.; Stivaktas, Paraskevi I.; Richards, Guy A.; Feldman, Charles; Anderson, Ronald // Journal of Antimicrobial Chemotherapy (JAC);Jan2012, Vol. 67 Issue 1, p130 

    Objectives Tigecycline is the prototype of the recently introduced, intravenously administered glycylcycline class of antibiotics, developed in response to the increasing problem of antibiotic resistance in Gram-positive bacteria, especially Staphylococcus aureus, as well as Gram-negative...

  • Comparison of European Committee on Antimicrobial Susceptibility Testing (EUCAST) and CLSI screening parameters for the detection of extended-spectrum β-lactamase production in clinical Enterobacteriaceae isolates. Polsfuss, Silke; Bloemberg, Guido V.; Giger, Jacqueline; Meyer, Vera; Hombach, Michael // Journal of Antimicrobial Chemotherapy (JAC);Jan2012, Vol. 67 Issue 1, p159 

    Objectives To compare the performance of European Committee on Antimicrobial Susceptibility Testing (EUCAST) and CLSI breakpoints following their revision in 2010, for the detection of extended-spectrum β-lactamase (ESBL) production in Enterobacteriaceae. Methods 236 well-characterized...

  • Simbiozna učinkovitost selekcioniranih autohtonih sojeva Bradyrhizobium japonicum. Komesarović, Branka; Redžepović, Sulejman; Blažinkov, Mihaela; Sudarić, Aleksandra; Uher, Darko; Sikora, Sanja // Mljekarstvo / Dairy;Oct-Dec2007, Vol. 57 Issue 4, p289 

    Symbiotic nitrogen fixation has a unique role in a sustainable agriculture because the utilization of this natural process enables significant reduction of mineral nitrogen fertilization. Thereby, selection of highly efficient symbiotic nitrogen fixators is of great importance for successful...

  • A new haplotype of ' Candidatus Liberibacter solanacearum' identified in the Mediterranean region. Nelson, Warrick; Sengoda, Venkatesan; Alfaro-Fernandez, Ana; Font, Maria; Crosslin, James; Munyaneza, Joseph // European Journal of Plant Pathology;Apr2013, Vol. 135 Issue 4, p633 

    ' Candidatus Liberibacter solanacearum', a phloem-limited and Gram-negative bacterium that is spread from infected to healthy plants by psyllid insect vectors, is an economically important pathogen of solanaceous and carrot crops in the Americas, New Zealand and Europe. Three haplotypes of ' Ca....

  • Association of Compylobacter jejuni infection and Guillainbarré syndrome: a cohort study in the northwest of Iran. Barzegar, Mohammad; Alizadeh, Asghar; Toopchizadeh, Vahideh; Dastgiri, Saeed; Majidi, Jafar // Turkish Journal of Pediatrics;2008, Vol. 50 Issue 5, p443 

    Recent studies have suggested that Campylobacter jejuni is a common pathogen causing Guillain-Barré syndrome (GBS). This study aimed to determine the frequency and clinical and electrophysiological features of C. jejuni infection in children with GBS. We carried out a prospective study on a...

  • Autoantibodies vex the vasculature. Kallenberg, Cees GM; Stegeman, Coen A; Heeringa, Peter // Nature Medicine;Oct2008, Vol. 14 Issue 10, p1018 

    The article reports on results of a study of the mechanism behind pauci-immune small-vessel vasculitides. The study showed that infection with a Gram-negative bacterium such as Escherichia coli may trigger disease in susceptible individuals by inducing the production of antibodies to a human...

  • Development of a multi-locus sequence typing scheme for Laribacter hongkongensis, a novel bacterium associated with freshwater fish-borne gastroenteritis and traveler's diarrhea. Woo, Patrick C. Y.; Teng, Jade L. L.; Tsang, Alan K. L.; Tse, Herman; Tsang, Vivien Y. M.; King-Man Chan; Lee, Edwin K. Y.; Chan, Jim K. H.; Ma, Shirley S. L.; Tam, Dorothy M. W.; Chung, Liliane M. W.; Lau, Susanna K. P.; Kwok-Yung Yuen // BMC Microbiology;2009, Vol. 9, Special section p1 

    Background: Laribacter hongkongensis is a newly discovered, facultative anaerobic, Gram-negative, motile, sea gull-shaped rod associated with freshwater fish borne gastroenteritis and traveler's diarrhea. A highly reproducible and discriminative typing system is essential for better...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics