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Case Reports
. 2025 Oct 10:66:230-233.
doi: 10.1016/j.jdcr.2025.09.035. eCollection 2025 Dec.

Citrobacter koseri infection of the nose masquerading as keratoacanthoma: A case report and review of the literature

Affiliations
Case Reports

Citrobacter koseri infection of the nose masquerading as keratoacanthoma: A case report and review of the literature

Grace Sora Ahn et al. JAAD Case Rep. .
No abstract available

Keywords: Citrobacter koseri; SSTI; iatrogenic infection; keratoacanthoma; pseudocarcinomatous hyperplasia.

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Conflict of interest statement

None disclosed.

Figures

Fig 1
Fig 1
Initial onset with acneiform papule of the right nasal sidewall (A); erythematous scaly plaque after 2 months at presentation (B); mildly atrophic residual scars postantibiotic treatment (C); lack of recurrence after 3 years (D).
Fig 2
Fig 2
Keratoacanthoma-like endophytic metaplastic proliferation of the right nasal sidewall (A). Close-up of interconnecting cyst-like spaces in background of syringosquamous metaplasia and numerous neutrophilic microabscesses along adnexal structures (B). PAS-D (top right), Gram (middle right), AFB (bottom right) stains were all negative (C).
Fig 3
Fig 3
Systematic PubMed/MEDLINE literature review of Citrobacter skin and soft tissue infection case reports.

References

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    1. Doern G.V., Jones R.N., Pfaller M.A., Kugler K.C., Beach M.L. Bacterial pathogens isolated from patients with skin and soft tissue infections: frequency of occurrence and antimicrobial susceptibility patterns from the SENTRY antimicrobial surveillance program (United States and Canada, 1997). SENTRY study group (North America) Diagn Microbiol Infect Dis. 1999;34(1):65–72. - PubMed
    1. Raia D.D., Barbareschi M., Veraldi S. Citrobacter koseri folliculitis of the face. Infection. 2015;43(5):595–597. - PubMed
    1. Umar S. Citrobacter infection and wnt signaling. Curr Colorectal Cancer Rep. 2012;8(4) - PMC - PubMed
    1. Bishara J., Gabay B., Samra Z., Hodak E., Pitlik S. Cellulitis caused by Citrobacter diversus in a patient with multiple myeloma. Cutis. 1998;61(3):158–159. - PubMed

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