Bacteremic skin and soft tissue infection caused by Prevotella loescheii
Identifieur interne : 000B27 ( Ncbi/Checkpoint ); précédent : 000B26; suivant : 000B28Bacteremic skin and soft tissue infection caused by Prevotella loescheii
Auteurs : Mansoor Mehmood [États-Unis] ; Nabil A. Jaffar [États-Unis] ; Muhammad Nazim [États-Unis] ; Faisal A. Khasawneh [États-Unis]Source :
- BMC Infectious Diseases [ 1471-2334 ] ; 2014.
Abstract
Anaerobes are a major component of gut flora. They play an important role in the pathogenesis of infections resulting from breaches in mucus membranes. Because of the difficulties in cultivating and identifying it, their role continues to be undermined. The purpose of this paper is to report a case of
A 42-year-old Caucasian man was admitted for an elective bariatric surgery. A lengthy intensive care unit stay and buttocks decubitus ulcers complicated his post-operative course. After being transferred to a long-term care facility, the decubitus ulcer became secondarily infected with multiple bacteria including
Url:
DOI: 10.1186/1471-2334-14-162
PubMed: 24661318
PubMed Central: 3997918
Affiliations:
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PMC:3997918Le document en format XML
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<author><name sortKey="Jaffar, Nabil A" sort="Jaffar, Nabil A" uniqKey="Jaffar N" first="Nabil A" last="Jaffar">Nabil A. Jaffar</name>
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<author><name sortKey="Khasawneh, Faisal A" sort="Khasawneh, Faisal A" uniqKey="Khasawneh F" first="Faisal A" last="Khasawneh">Faisal A. Khasawneh</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Bacteremic skin and soft tissue infection caused by <italic>Prevotella loescheii</italic>
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<author><name sortKey="Mehmood, Mansoor" sort="Mehmood, Mansoor" uniqKey="Mehmood M" first="Mansoor" last="Mehmood">Mansoor Mehmood</name>
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<author><name sortKey="Jaffar, Nabil A" sort="Jaffar, Nabil A" uniqKey="Jaffar N" first="Nabil A" last="Jaffar">Nabil A. Jaffar</name>
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<author><name sortKey="Nazim, Muhammad" sort="Nazim, Muhammad" uniqKey="Nazim M" first="Muhammad" last="Nazim">Muhammad Nazim</name>
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<wicri:regionArea>Department of Surgery, Texas Tech University Health Sciences Center, Amarillo, Texas</wicri:regionArea>
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<author><name sortKey="Khasawneh, Faisal A" sort="Khasawneh, Faisal A" uniqKey="Khasawneh F" first="Faisal A" last="Khasawneh">Faisal A. Khasawneh</name>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Section of Infectious Diseases, Department of internal medicine, Texas Tech University Health Sciences Center, 1400 S. Coulter Street, Amarillo, TX 79106</wicri:regionArea>
<placeName><region type="state">Texas</region>
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<series><title level="j">BMC Infectious Diseases</title>
<idno type="eISSN">1471-2334</idno>
<imprint><date when="2014">2014</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Anaerobes are a major component of gut flora. They play an important role in the pathogenesis of infections resulting from breaches in mucus membranes. Because of the difficulties in cultivating and identifying it, their role continues to be undermined. The purpose of this paper is to report a case of <italic>Prevotella loescheii</italic>
bacteremic skin and soft tissue infection and review the literature.</p>
</sec>
<sec><title>Case presentation</title>
<p>A 42-year-old Caucasian man was admitted for an elective bariatric surgery. A lengthy intensive care unit stay and buttocks decubitus ulcers complicated his post-operative course. After being transferred to a long-term care facility, the decubitus ulcer became secondarily infected with multiple bacteria including <italic>P. loescheii;</italic>
an anaerobe that grew in blood and wound cultures. The patient was treated successfully with aggressive surgical debridement, antibiotics and subsequent wound care.</p>
</sec>
<sec><title>Conclusion</title>
<p><italic>P. loescheii</italic>
colonizes the gut and plays an important role in periodontal infections. In rare occasions and under suitable circumstances, it can infect skin and soft tissues as well as joints. Given the difficulties in isolating anaerobes in the microbiology lab, considering this bacterium alongside other anaerobes in infections of devitalized tissue is indicated even if cultures were reported negative.</p>
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<tree><country name="États-Unis"><region name="Texas"><name sortKey="Mehmood, Mansoor" sort="Mehmood, Mansoor" uniqKey="Mehmood M" first="Mansoor" last="Mehmood">Mansoor Mehmood</name>
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