Acute Necrotizing Dermohypodermatitis Due to an Unusual Germ: Providencia Stuartii.
This 33-year-old lady was hospitalized for systemic lupus and received corticosteroid therapy; upper limb edema 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 anemia (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 due to the odd location, the circumstances of the occurrence, and the clinical component.
Acute necrotizing Dermohypodermatitis (AND) causes dermal and hypodermal necrosis, an acute bacterial infection. Sedentary lifestyle, chronic diseases, etc., are also rising pathologies. A medical-surgical emergency has occurred. Most frequently, the alleged microorganism is a severe strain of Group A beta-hemolytic Streptococcus (GABHS) or one that is linked to other microorganisms.1 Urinary tract infections are frequently linked to Providencia
Stuartii (P. Stuartii). It is uncommon for the P. Stuartii germ to be connected to a skin illness.
Dermatol Open J. 2022; 7(1): 16-18.doi: 10.17140/DRMTOJ-7-151