cefotaxime and Leg-Dermatoses

A case of cellulitis of the leg caused by Aeromonas hydrophila in a cirrhotic patient is reported. The starting point of the infection could not be determined with certainty, but a direct local inoculation during foot-baths was suspected. Because of clinical signs suggestive of erysipelas, the disease was initially treated without success with penicillin G, which raises questions concerning the choice of the initial antibiotic therapy for cellulitis of the leg in immunocompromised patients, pending the bacteriological results. A purely medical treatment (adequate antibiotic therapy) resulted in complete cure of this patient, despite the fact that his lesions were necrotizing.

Topics: Aeromonas hydrophila; Aged; Cefotaxime; Cellulitis; Drug Therapy, Combination; Gram-Negative Bacterial Infections; Humans; Leg Dermatoses; Male; Netilmicin