A 47-year-old liver transplant recipient developed fever and cellulitis on the 8th post-transplant day. The clinical appearances were of a rapidly advancing cellulitis. The patient had a past history of severe peripheral edema and hypoalbuminemia. Blood cultures and skin biopsy grew Escherichia coli. To our knowledge, this is the first reported case of E. coli cellulitis in a liver transplant recipient. However, cases have previously been described in patients with cirrhosis or idiopathic nephritic syndrome, conditions which share predisposing features of peripheral edema and hypoalbuminemia. Bacteremic gram-negative cellulitis should be considered in compromised patients with unusual presentations of cellulitis.
Spontaneous gram-negative cellulitis in a liver transplant recipient / Paterson, D. L.; Gruttadauria, S.; Lauro, A.; Scott, V.; Marino, I. R.. - In: INFECTION. - ISSN 0300-8126. - 29:6(2001), pp. 345-347. [10.1007/s15010-001-1112-z]
Spontaneous gram-negative cellulitis in a liver transplant recipient
Lauro A.Writing – Review & Editing
;
2001
Abstract
A 47-year-old liver transplant recipient developed fever and cellulitis on the 8th post-transplant day. The clinical appearances were of a rapidly advancing cellulitis. The patient had a past history of severe peripheral edema and hypoalbuminemia. Blood cultures and skin biopsy grew Escherichia coli. To our knowledge, this is the first reported case of E. coli cellulitis in a liver transplant recipient. However, cases have previously been described in patients with cirrhosis or idiopathic nephritic syndrome, conditions which share predisposing features of peripheral edema and hypoalbuminemia. Bacteremic gram-negative cellulitis should be considered in compromised patients with unusual presentations of cellulitis.File | Dimensione | Formato | |
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Lauro_ Gram-negative-cellulitis_2001.pdf
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