Gram-negative rods found in soil and water is present in normal fecal flora in humans and other mammals.
Increasingly common cause of nosocomial infections that can present as a life threatening community acquired disease with severe dermatologic manifestations.
Has the potential for addecting nonimmunocompromised hosts through minimal innoculums.
May be resistant to beta-lactam antibiotics commonly selected for treatment of skin and soft tissue infections.
Reportedly related to urinary tract infections, nosocomial surgical wound infections, peritonitis, CNS infections, endophthalmitis, pneumonia, neonatal sepsis, chorioamnionitis, necrotizing fasciitis, and arthritis.
Nosocomial infections are usually post surgical with post-surgical wound infections or urinary tract infections.
Typically patients are immunocompromised, diabetic, elderly , will have multicomorbid situations.
Associated with an overall mortality of 38%.
Dermatologic manifestations include hemorrhagic Bullard and erythema gangrenosum like eruptions.