IDR - Immune Diagnostics & Research

Case Reports

Serratia marcescens: an unusual pathogen associated with snakebite cellulitis


Parimala Subramani, Gokul Bindiganavile Narasimhamurthy, Bhaskaran Ashokan, Beena Prasavangada Madappa

Sri Devaraj Urs Academy of Higher Education and Research, Tamaka, Kolar, India

doi:10.3855/jidc.2586

Abstract

This study reports a case of Serratia marcescens cellulitis following a snakebite in a 50-year-old woman. The bite was on the dorsum of the right hand with symptoms of envenomation. She developed swelling and cellulitis with tissue necrosis. Wound debridement was performed.  Pus and tissue biopsy cultures yielded Serratia marcescens sensitive to fluoroquinolones, aminoglycosides, third-generation cephalosporins and carbapenems. The patient responded to anti-snake venom (ASV) therapy, ciprofloxacin, local wound management and recovered uneventfully.


Keywords

snake bite; cellulitis; Serratia marcescens

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