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Journal of Clinical Microbiology, May 2003, p. 2233-2234, Vol. 41, No. 5
0095-1137/03/$08.00+0     DOI: 10.1128/JCM.41.5.2233-2234.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.

CASE REPORT

Infection with an Extended-Spectrum ß-Lactamase-Producing Strain of Serratia marcescens following Tongue Reconstruction

Benu Dhawan,1 Richard Bonnet,2 N. K. Shukla,3 Purva Mathur,1 Bimal K. Das,1 and Arti Kapil1*

Department of Microbiology,1 Department of Surgical Oncology, Institute-Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi-29, India,3 Faculté de Médecine, Service de Bactériologie-Virologie, 63001 Clermont-Ferrand Cedex, France2

Received 5 August 2002/ Returned for modification 3 November 2002/ Accepted 2 January 2003

We report a case of postsurgical wound infection of polymicrobial etiology caused by Serratia marcescens and Pseudomonas aeruginosa following the use of a radial forearm free flap for oncological tongue reconstruction. S. marcescens was a producer of SHV-12 extended-spectrum ß-lactamase (ESBL). This is the first report from India of this ESBL. S. marcescens and P. aeruginosa were resistant to the empirical perioperative antibiotics administered. Delay in the recognition of the type of infection and in the institution of appropriate therapy resulted in total loss of the free flap.

* Corresponding author. Mailing address: Dept. of Microbiology, All India Institute of Medical Sciences, New Delhi-29, India. Phone: 686 4851, ext. 4237. Fax: 91-11-6862663. E-mail: artikapil{at}yahoo.com.

Journal of Clinical Microbiology, May 2003, p. 2233-2234, Vol. 41, No. 5
0095-1137/03/$08.00+0     DOI: 10.1128/JCM.41.5.2233-2234.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.



This article has been cited by other articles:

  • Delmas, J., Robin, F., Carvalho, F., Mongaret, C., Bonnet, R. (2006). Prediction of the Evolution of Ceftazidime Resistance in Extended-Spectrum {beta}-Lactamase CTX-M-9. Antimicrob. Agents Chemother. 50: 731-738 [Abstract] [Full Text]  


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