Citrobacter Freundii Skin Infection in an Immunocompetent Subject Simulating Varicella: A Treatment-Resistant Case

Savané Moussa*, Gassama Mamadou, Guindo Binta, Diakité Mamoudou, Mukendi N. Yannick, Keita Alimata, Fofana Youssouf, Dissa Labassou, Soumah M. Maciré, Cissé Mohamed and Faye Ousmane

Citrobacter spp infections in immunocompetent subjects are rare and mainly involve the urinary and respiratory tracts. We report a case of Citrobacter freundii skin infection in an immunocompetent patient simulating varicella and having resisted empirical treatment of common bacterial skin infections on occasions.

Citrobacter spp infections in immunocompetent subjects are rare and mainly involve the urinary and respiratory tracts. We report a case of Citrobacter freundii skin infection in an immunocompetent patient simulating varicella and having resisted empirical treatment of common bacterial skin infections occasions.

The patient was 26-years-old and worked in a mining area in Kayes, Mali. He had no previous medical or surgical history and consulted for diffuse papulopustules on the integument, simulating chickenpox, for which he had received empirical treatments of common bacterial skin infections without success.

The blood count, the transaminases, the creatinine, the blood sugar, the treponemal and viral serology B and C viruses, human immunodeficiency virus were normal but no polymerase chain reaction was carried out for moneybox. Urine cytobacteriological examination and abdominopelvic ultrasound were also normal.

Pus collection for bacteriological analysis revealed the presence of Citrobacter freundii and the susceptibility test showed sensitivity to ceftazidime and gentamycin.

Dermatol Open J. 2023; 8(1): 1-3. doi: 10.17140/DRMTOJ-8-152