Staphylococcus lugdunensis: A Rare Pathogen for Osteomyelitis of the Foot

被引:4
作者
Kear, Shelby [1 ]
Smith, Collin [1 ]
Mirmiran, Roya [1 ]
Hofinger, Diedre [2 ,3 ]
机构
[1] New Mexico Vet Affairs Hlth Care Syst, Podiatr Surg Residency Program, Albuquerque, NM USA
[2] New Mexico Vet Affairs Hlth Care Syst, Dept Internal Med & Infect Dis, Albuquerque, NM USA
[3] Univ New Mexico, Sch Med, Dept Internal Med, Albuquerque, NM 87131 USA
关键词
bacteria; foot; gram-positive coccus; infection; osteomyelitis; CLINICAL SPECIMENS; SUSCEPTIBILITY; INFECTION;
D O I
10.1053/j.jfas.2014.06.019
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Staphylococcus lugdunensis is an aggressive gram- positive bacteria that can lead to devastating infections in humans. S. lugdunensis has been associated with rare cases of osteomyelitis of the vertebra, prosthetic implants, and endocarditis. Reports of this organism associated with osteomyelitis of the foot or ankle have been infrequent. We present a unique case of acute osteomyelitis of a foot caused by S. lugdunensis after a patient stepped on a thorn. Our case is unique, because the radiographic changes were noted within 4 days, despite normal plain films and magnetic resonance images on the day of admission. This finding suggests the aggressiveness and virulence of S. lugdunensis. In addition, we report the first case of foot osteomyelitis as a result of isolated S. lugdunensis that involved 2 distinct specimens with 2 different antibiotic sensitivity reports. (C) 2016 by the American College of Foot and Ankle Surgeons. All rights reserved.
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收藏
页码:255 / 259
页数:5
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