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01-Oct-2020
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Arch Hellen Med, 37(5), September-October 2020, 696-698 CASE REPORT Extensive skin ulcer of the lower limb due to multidrug-resistant Escherichia coli A. Aristodimou,1 E. Eleftheriou,1 P. Nearchou,1 M. Lemessios2 |
Escherichia coli is not a common cause of skin infections. The case is presented here of a skin ulcer on the leg caused by E. coli producing extended spectrum beta-lactamase (ESBL), in a 73-year-old man who had diabetes mellitus (DM) with excellent glycemic control, without clinically significant lower limb blood vessel disease, and with no known immunosuppression. The combination of long-term treatment with carbapenems and intensive topical care of the ulcer resulted in complete healing of the skin lesion.
Key words: ESBL, Escherichia coli, Skin ulcer.