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Case Reports in Infectious Diseases
Volume 2015, Article ID 626917, 3 pages
http://dx.doi.org/10.1155/2015/626917
Case Report

Skin Abscess due to Serratia marcescens in an Immunocompetent Patient after Receiving a Tattoo

Servicio de Cirugía Ortopédica y Traumatología, Consorcio Hospital General Universitario de Valencia, Avenida Tres Cruces 2, 46014 Valencia, Spain

Received 18 February 2015; Accepted 21 June 2015

Academic Editor: Arlene C. Sena

Copyright © 2015 J. Diranzo García et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The incidence of skin infections caused by Serratia marcescens is extremely low and such infections are typically observed in immunocompromised patients. The clinical manifestations of these infections include cellulitis, abscesses, fluctuant nodules, or granulomatous lesions. Infections caused by S. marcescens are very difficult to treat due to their resistance to many antibiotics, which often leads to specific and prolonged treatment. Infections after receiving a tattoo are very rare and are caused by unhygienic conditions or the inexperience of the tattooist. In this paper we present the case of a 32-year-old male with no comorbidity, who presented an abscess caused by S. marcescens in a area that was tattooed one month earlier. The case was resolved with surgery and antimicrobial therapy that was based on the antibiogram. To our knowledge, this is the first reported case of a S. marcescens skin infection following a tattoo, in the absence of immunosuppression.