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Cryptic Bacteria of Lower Limb Deep Tissues as a Possible Cause of Inflammatory and Necrotic Changes in Ischemia, Venous Stasis and Varices, and Lymphedema.

Identifieur interne : 000E48 ( PubMed/Curation ); précédent : 000E47; suivant : 000E49

Cryptic Bacteria of Lower Limb Deep Tissues as a Possible Cause of Inflammatory and Necrotic Changes in Ischemia, Venous Stasis and Varices, and Lymphedema.

Auteurs : Waldemar L. Olszewski [Pologne] ; Marzanna Zaleska [Pologne] ; Ewa Stelmach [Pologne] ; Ewa Swoboda-Kopec [Pologne] ; Pradeep Jain [Inde] ; Karoon Agrawal [Inde] ; Sashi Gogia [Inde] ; Arun Gogia [Inde] ; Piotr Andziak [Pologne] ; Marek Durlik [Pologne]

Source :

RBID : pubmed:26046245

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Abstract

Infections and inflammation of the lower limb skin, soft tissues, and vessels are more common than in other body regions. The aim was to determine whether cryptic bacteria dwelling in deep tissues are the cause.

DOI: 10.1089/sur.2014.019
PubMed: 26046245

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<term>Aged, 80 and over</term>
<term>Bacterial Infections (complications)</term>
<term>Female</term>
<term>Humans</term>
<term>Ischemia (etiology)</term>
<term>Ischemia (microbiology)</term>
<term>Lower Extremity (microbiology)</term>
<term>Lower Extremity (pathology)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (microbiology)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Soft Tissue Infections (etiology)</term>
<term>Soft Tissue Infections (microbiology)</term>
<term>Surgical Wound Infection (etiology)</term>
<term>Surgical Wound Infection (microbiology)</term>
<term>Varicose Veins (etiology)</term>
<term>Varicose Veins (microbiology)</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Infection de plaie opératoire (microbiologie)</term>
<term>Infection de plaie opératoire (étiologie)</term>
<term>Infections bactériennes ()</term>
<term>Infections des tissus mous (microbiologie)</term>
<term>Infections des tissus mous (étiologie)</term>
<term>Ischémie (microbiologie)</term>
<term>Ischémie (étiologie)</term>
<term>Lymphoedème (microbiologie)</term>
<term>Lymphoedème (étiologie)</term>
<term>Membre inférieur (anatomopathologie)</term>
<term>Membre inférieur (microbiologie)</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Varices (microbiologie)</term>
<term>Varices (étiologie)</term>
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<term>Membre inférieur</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Bacterial Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Ischemia</term>
<term>Lymphedema</term>
<term>Soft Tissue Infections</term>
<term>Surgical Wound Infection</term>
<term>Varicose Veins</term>
</keywords>
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<term>Infection de plaie opératoire</term>
<term>Infections des tissus mous</term>
<term>Ischémie</term>
<term>Lymphoedème</term>
<term>Membre inférieur</term>
<term>Varices</term>
</keywords>
<keywords scheme="MESH" qualifier="microbiology" xml:lang="en">
<term>Ischemia</term>
<term>Lower Extremity</term>
<term>Lymphedema</term>
<term>Soft Tissue Infections</term>
<term>Surgical Wound Infection</term>
<term>Varicose Veins</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Lower Extremity</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Infection de plaie opératoire</term>
<term>Infections des tissus mous</term>
<term>Ischémie</term>
<term>Lymphoedème</term>
<term>Varices</term>
</keywords>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Infections bactériennes</term>
<term>Mâle</term>
<term>Sujet âgé</term>
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<front>
<div type="abstract" xml:lang="en">Infections and inflammation of the lower limb skin, soft tissues, and vessels are more common than in other body regions. The aim was to determine whether cryptic bacteria dwelling in deep tissues are the cause.</div>
</front>
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<DateCreated>
<Year>2015</Year>
<Month>06</Month>
<Day>06</Day>
</DateCreated>
<DateCompleted>
<Year>2016</Year>
<Month>02</Month>
<Day>25</Day>
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<Year>2017</Year>
<Month>02</Month>
<Day>20</Day>
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<Volume>16</Volume>
<Issue>3</Issue>
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<Year>2015</Year>
<Month>Jun</Month>
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<Title>Surgical infections</Title>
<ISOAbbreviation>Surg Infect (Larchmt)</ISOAbbreviation>
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<ArticleTitle>Cryptic Bacteria of Lower Limb Deep Tissues as a Possible Cause of Inflammatory and Necrotic Changes in Ischemia, Venous Stasis and Varices, and Lymphedema.</ArticleTitle>
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<MedlinePgn>313-22</MedlinePgn>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Infections and inflammation of the lower limb skin, soft tissues, and vessels are more common than in other body regions. The aim was to determine whether cryptic bacteria dwelling in deep tissues are the cause.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We performed bacteriologic studies of specimens harvested from arteries of amputated ischemic legs, leg varices, and tissue fluid/lymph and lymphatics in lymphedema.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Calf arteries contained isolates in 61% and femoral arteries in 36%, whereas normal cadaveric organ donors' arteries in 11%. Bacterial deoxyribonucleic acid (DNA) was detected in 70%. The majority of isolates belonged to the coagulase-negative staphylococci and Staphylococcus aureus; however, highly pathogenic bacteria were also detected. All were sensitive to all antibiotics except penicillin. Saphenous vein varices contained bacterial cells in 40% and controls 4%; bacterial DNA was found in 69%. The majority of bacteria were S. epidermidis and S. aureus susceptible to all antibiotics except penicillin, Lymph and epifascial lymphatics limb contained bacteria in 60% and 33% samples, respectively and controls in 7%. Most were S. epidermidis susceptible to all antibiotics except penicillin.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Cryptic bacteria are present in lower limb tissues and may play a pathologic role in surgical site infections. Proper antibacterial prophylaxis should be considered when planning surgical interventions.</AbstractText>
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<LastName>Olszewski</LastName>
<ForeName>Waldemar L</ForeName>
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<ForeName>Marzanna</ForeName>
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<Affiliation>1Department of Surgical Research Transplantation and Human Epigenetics, Medical Research Center, Polish Academy of Sciences, Warsaw, Poland.</Affiliation>
</AffiliationInfo>
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<ForeName>Ewa</ForeName>
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<Affiliation>1Department of Surgical Research Transplantation and Human Epigenetics, Medical Research Center, Polish Academy of Sciences, Warsaw, Poland.</Affiliation>
</AffiliationInfo>
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<LastName>Swoboda-Kopec</LastName>
<ForeName>Ewa</ForeName>
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<Affiliation>3Department of Microbiology, Medical University, Warsaw, Poland.</Affiliation>
</AffiliationInfo>
</Author>
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</AffiliationInfo>
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<ForeName>Karoon</ForeName>
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<Affiliation>5Department of Burns, Plastic and Maxillofacial Surgery, Safdarjang Hospital and VM Medical College, New Delhi, India.</Affiliation>
</AffiliationInfo>
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<Affiliation>6Amla Mediquip/Sanwari Bai Surgical Centre, New Delhi, India.</Affiliation>
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<Affiliation>6Amla Mediquip/Sanwari Bai Surgical Centre, New Delhi, India.</Affiliation>
</AffiliationInfo>
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<LastName>Andziak</LastName>
<ForeName>Piotr</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>2Department of Transplantation Surgery, Central Clinical Hospital, Ministry of Internal Affairs, Warsaw, Poland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Durlik</LastName>
<ForeName>Marek</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>2Department of Transplantation Surgery, Central Clinical Hospital, Ministry of Internal Affairs, Warsaw, Poland.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>7Department of Surgical Research and Transplantology, Medical Research Center, Polish Academy of Sciences, Warsaw, Poland.</Affiliation>
</AffiliationInfo>
</Author>
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<Language>eng</Language>
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<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
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<Year>2015</Year>
<Month>05</Month>
<Day>26</Day>
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<Country>United States</Country>
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