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.


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