Acute Necrotizing Dermohypodermatitis Due to an Unusual Germ: Providencia Stuartii

Authors

  • Adama A. Dicko CHU Hospital of Dermatology of Bamako (HDB), B. P. 251, Bamako, Mali; University of Sciences,Techniques and Technologies De Bamako, B. P. 251, Bamako, Mali
  • Ilias Sow CHU Hospital of Dermatology of Bamako (HDB), B. P. 251, Bamako, Mali
  • Koreissi Tall CHU Hospital of Dermatology of Bamako (HDB), B. P. 251, Bamako, Mali
  • Yannick M. Nkesu CHU Hospital of Dermatology of Bamako (HDB), B. P. 251, Bamako, Mali
  • Binta Guindo CHU Hospital of Dermatology of Bamako (HDB), B. P. 251, Bamako, Mali
  • Gassama Mamadou CHU Hospital of Dermatology of Bamako (HDB), B. P. 251, Bamako, Mali; University of Sciences,Techniques and Technologies De Bamako, B. P. 251, Bamako, Mali
  • Yamoussa Karabinta CHU Hospital of Dermatology of Bamako (HDB), B. P. 251, Bamako, Mali; University of Sciences,Techniques and Technologies De Bamako, B. P. 251, Bamako, Mali

DOI:

https://doi.org/10.17140/DRMTOJ-7-151

Keywords:

Hospitalization Infectious skin diseases, Acute necrotizing dermohypodermatitis, Providencia stuartii, Bamako, Mali

Abstract

This 33-year-old lady was hospitalised for systemic lupus and received corticosteroid therapy; upper limb edoema developed as
a result. The interview revealed a theory of trauma related to a fall in the bathroom. During the examination, it was discovered
that the patient’s overall health was quite poor and that her left upper limb was edematous, unpleasant to the touch, and covered
in an erythematous plaque with blisters and a necrosis area. After 72-hours, ciprofloxacin, gentamycin, and amoxicillin antibiotic
treatment had no noticeable effects. A bacteriological examination of the ulcer indicated the presence of Providencia stuartii, which
is susceptible to cefotaxime but resistant to ciprofloxacin and amoxicillin. The biological evaluation revealed hyperleukocytosis
(12,800 white blood cells/L), thrombocytopenia (103,000/L), and anaemia (9.1 g/dL). Following the administration of cefotaxime
together with surgical debridement, apyrexia set in within 24-hours, and full recovery occurred three-weeks later. The search for
atypical germs and the performance of an antibiogram must be mandated in front of an acute necrotizing dermohypodermatitis
(AND) due to the odd location, the circumstances of the occurrence, and the clinical component.

References

Conférence de consensus. Érysipèle et fasciite nécrosante: Prise en charge [In: French]. Ann Dermatol Vénéréol. 2001; 128: 463-482.

Hawkey PM, Penner JL, Potten MR, Stephens MR, Barton LJ, Speller DC. Prospective survey of faecal, urinary tract and environ-mental colonization by Providencia stuartii in two geriatric wards. J Clin Microbiol. 1982; 422-426. doi: 10.1128/jcm.16.3.422-426.1982

El Khatib M, Tran Q-T, Nasrallah C, Lopes J, Bolla J-M, Vivau-dou M. Providencia stuartii form biofilms and floating communities of cells that display high resistance to environmental insults. PLoS One. 2017; 12(3): e0174213. doi: 10.1371/journal.pone.0174213

Mao Y-C, Chang C-L, Huang Y-C, Su L-H, Lee C-T. Laboratory investigation of a suspected outbreak caused by Providencia stuar-tii with intermediate resistance to imipenem at a long-term care fa-cility. J Microbiol Immunol Infect. 2018; 51(2): 214-219. doi: 10.1016/ Submit your article to this journal | https://openventio.org/submit-manuscript/ Case Report | Volume 7 | Number 1 | Dicko AA, et al PUBLISHERS j. jmii.2016.07.004

Sibghat TL, Khan S, Dave A, Morrison AJA, Jain S, Hermanns D. A case of purple urine bag syndrome in a spastic partial quad-riplegic male. Cureus. 2016; 8(4): e552. doi: 10.7759/cureus.552

Hawkey PM, Penner JL. Providencia stuartii: A review of a mul-tiply antibiotic-resistant bacterium. J Antimicrob Chemother. 1984; 13(3): 209-226. doi: 10.1093/jac/13.3.209

Frey KG, Bishop KA, Daligault HE, et al. Full-genome assembly of reference strain Providencia stuartii ATCC 33672. Genome An-nounc. 2014; 2(5): e01082-e01114. doi: 10.1128/genomeA.01082-14

Galani L, Galani I, Souli M, et al. Nosocomial dissemination of Providencia stuartii isolates producing extended-spectrum b-lacta-mases VEB-1 and SHV-5, metallo-b-lactamase VIM-1, and RNA methylase RmtB. J Glob Antimicrob Resist. 2013; 1(2): 115-116. doi: 10.1016/j.jgar.2013.03.006

Dieng MT, Niang SO, Ly F, Bathily T, Ndiaye B. Vibrio vulni-ficus. Ann Dermatol Venereol. 2001; 128 (5): 653. doi: AD-05-2001- 128-5-0151-9638-101019-ART13

Oliver JD. Wound infections caused by Vibrio vulnificus and other marine bacteria. Epidemiol Infect. 2005; 133: 383-391. doi: 10.1017/s0950268805003894

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Published

2022-12-30

How to Cite

Adama A. Dicko, Ilias Sow, Koreissi Tall, Yannick M. Nkesu, Binta Guindo, Gassama Mamadou, & Yamoussa Karabinta. (2022). Acute Necrotizing Dermohypodermatitis Due to an Unusual Germ: Providencia Stuartii. Dermatology, 7(1), 16–18. https://doi.org/10.17140/DRMTOJ-7-151

Issue

Vol. 7 No. 1 (2022): Volume 7 Issue 1 2022

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