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.
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Received: August 7, 2000 · Revision accepted: August 27, 2001
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Paterson, D., Gruttadauria, S., Lauro, A. et al. Spontaneous Gram-Negative Cellulitis in a Liver Transplant Recipient. Infection 29, 345–347 (2001). https://doi.org/10.1007/s15010-001-1112-z
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DOI: https://doi.org/10.1007/s15010-001-1112-z