Serratia marcescens Rhabdomyolysis

Miguel F. Carrascosa, José R. Salcines-Caviedes, María Carmen Farinas

.
Internal Medicine Department, Hospital of Laredo, Laredo, Spain.

DOI: 10.4236/aid.2013.32009                

Abstract

Serratia marcescens has been recognized as an important cause of nosocomial and community-acquired infections. To our knowledge, we describe the first case of S. marcescens rhabdomyolysis, most probably related to acute cholecystitis and secondary bacteremia. The condition was successfully managed with levofloxacin. Keeping in mind the relevant morbidity and mortality associated with bacterial rhabdomyolysis, physicians should consider this possibility in patients with suspected or proven bacterial disease. We suggest S. marcescens should be regarded as a new causative agent of infectious rhabdomyolysis.

Keywords

Acute Cholecystitis; Acute Renal Failure; Myositis; Rhabdomyolysis; Serratia marcescens

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	S. D. Mahlen, “Serratia Infections: From Military Experiments to Current Practice,” Clinical Microbiology Reviews, Vol. 24, No. 4, 2011, pp. 755-791. doi:10.1128/CMR.00017-11
[2]	F. A. Sarubbi, G. D. Gafford and D. R. Bishop, “Gram-Negative Bacterial Pyomyositis: Unique Case and Review,” Clinical Infectious Diseases, Vol. 11, No. 5, 1989, pp. 789-792. doi:10.1093/clinids/11.5.789
[3]	J. Pascual, F. Liano, M. Rivera, R. Carrillo and J. Ortuno, “Necrotizing Myoitis Secondary to Serratia marcescens in a Renal Allograft Recipient,” Nephron, Vol. 55, No. 3, 1990, pp. 329-331. doi:10.1159/000185985
[4]	T. Rehman, T. A. Moore and L. Seoane, “Serratia marcescens Necrotizing Fasciitis Presenting as Bilateral Breast Necrosis,” Journal of Clinical Microbiology, Vol. 50, No. 10, 2012, pp. 3406-3408. doi:10.1128/JCM.00843-12
[5]	M. J Colomina, V. L Soria and G. J. C Monllau, “Acute Haematogenous Metacarpal Osteomyelitis in Children: A Case Report and Review of Literature,” Case Reports in Infectious Diseases, 2011, Article ID: 674820. doi:10.1155/2011/674820
[6]	A. G. Hadjipavlou, I. N. Gaitanis, C. A. Papadopoulos, P. G. Katonis and G. M. Kontakis, “Serratia Spondylodiscitis after Elective Lumbar Spine Surgery: A Report of Two Cases,” Spine, Vol. 27, No. 23, 2002, pp. E507-E512. doi:10.1097/00007632-200212010-00018
[7]	V. L. Yu, “Serratia marcescens: Historical Perspective and Clinical Review,” The New England Journal of Medicine, Vol. 300, No. 16, 1979, pp. 887-893. doi:10.1056/NEJM197904193001604
[8]	S. S. Mahmoud, S. Odak, Z. Qazzafi and M. J. McNicholas, “Primary Total Knee Arthroplasty Infected with Serratia marcescens,” BMJ Case Reports, 2012.
[9]	J. D. Warren, P. C. Blumbergs and P. D. Thompson, “Rhabdomyolysis: A Review,” Muscle Nerve, Vol. 25, No. 3, 2002, pp. 332-347. doi:10.1002/mus.10053
[10]	U. Singh and W. M. Scheld, “Infectious Etiologies of Rhabdomyolysis: Three Case Reports and Review,” Clinical Infectious Diseases, Vol. 22, No. 4, 1996, pp. 642-649. doi:10.1093/clinids/22.4.642