Recurrent joint infection caused by a multidrug-resistant capnophilic Escherichia coli ST131 O25H4 strain

被引：1
作者：
Nenninger, Eileen Katherine [1 ]
Geffert, Sara [1 ,2 ,3 ,4 ]
Charla, Swapna [2 ,3 ]
Chou, Charissa [3 ]
Uzun, Ece Dilber Gamsiz [3 ,4 ,5 ]
Sawyer, Deborah [2 ]
Badeel, Rozeen [2 ,3 ]
Chargualaf, Tiffany [2 ]
Almaghlouth, Nouf K. [1 ]
Hong, Tao [2 ,3 ,4 ,6 ]
机构：
[1] Rhode Isl Hosp, Brown Med Div Infect Dis, Providence, RI 02903 USA
[2] Rhode Isl Hosp, Microbiol Lab, Providence, RI 02903 USA
[3] Rhode Isl Hosp, Dept Pathol & Lab Med, Providence, RI 02903 USA
[4] Brown Univ, Dept Pathol & Lab Med, Alpert Med Sch, Providence, RI 02903 USA
[5] Brown Univ, Ctr Computat Mol Biol, Providence, RI 02906 USA
[6] 593 Eddy St, Providence, RI 02903 USA
来源：
IDCASES | 2024年 / 36卷
基金：
美国国家卫生研究院;
关键词：
E. coli ST131; Capnophilic; Septic arthritis; Osteomyelitis; Multidrug resistance;
D O I：
10.1016/j.idcr.2024.e01976
中图分类号：
R51 [传染病];
学科分类号：
100401 ;
摘要：
We report a case of a native knee septic arthritis and subsequent osteomyelitis due to a CO2-dependent (capnophilic) multidrug-resistant E. coli ST131 O25:H4 strain. Capnophilic phenotype made microbiology investigation challenging; susceptibility testing could not be performed and the organism did not grow in the urine culture using standard method. The combination of unique virotype and capnophilia may have contributed to the aggressiveness of this organism and the initial unsuccessful carbapenem course, leading to recurrent infection.
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