Acinetobacter baumannii orofacial cellulitis: report of two cases

Publication date: Available online 22 February 2019

Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

Author(s): Thaís dos Santos Fontes Pereira, Denise Vieira Travassos, Raissa Cristina Costa Silva, Laiz Fernandes Mendes Nunes, Maria Edileusa Santos, Célia Regina Lanza, Gabriela Assunção Goebel, Fabiana Maria Kakehasi, Tarcília Aparecida Silva

Abstract

Acinetobacter baumannii infection of skin and soft tissues is uncommon and usually associated with trauma. The present report describes two cases of cellulitis in the orofacial region, caused by an A. baumannii infection in paediatric patients, and with fatal outcome. A twelve-year-old male patient, diagnosed with acute promyelocytic leukemia, presented an ulcerated lesion on the lip suggestive of local trauma. The condition evolved with cellulitis, epithelial necrosis and non-specific vesicles and blisters. The second case occurred in a 10-year-old male patient with a diagnosis of Burkitt's lymphoma. The patient evolved with mucositis WHO Grade IV and cellulitis. In both cases, hemoculture was positive for multidrug-resistant A. baumannii. In conclusion, A. baummanii should be considered a potential multidrug-resistant pathogen in the presence of skin and soft tissue cellulitis. Ulcerated oral lesions may place hospitalised paediatric patients at risk of A. baummanii infection.

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