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Pasteurella bettyae infection requiring finger amputation due to rapid deterioration and tissue damage

We report a case of infection of the middle finger of a 69-year-old man who visited our hospital. Pus was collected from the erythematous and swollen area of the nail cage of the left-hand middle finger and evaluated in our microbiology laboratory. Gram staining of the specimen revealed multinucleat...

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Autores principales: Kitagawa, Daisuke, Ochi, Anna, Kurimoto, Toru, Kasamatsu, Takehito, Shiraishi, Naoyuki, Suzuki, Soma, Shintani, Yui, Furumori, Madoka, Suzuki, Yuki, Nakano, Akiyo, Nakano, Ryuichi, Yano, Hisakazu, Maeda, Koichi, Nomi, Kyoko, Nakamura, Fumihiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10206417/
https://www.ncbi.nlm.nih.gov/pubmed/37234727
http://dx.doi.org/10.1016/j.idcr.2023.e01791
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author Kitagawa, Daisuke
Ochi, Anna
Kurimoto, Toru
Kasamatsu, Takehito
Shiraishi, Naoyuki
Suzuki, Soma
Shintani, Yui
Furumori, Madoka
Suzuki, Yuki
Nakano, Akiyo
Nakano, Ryuichi
Yano, Hisakazu
Maeda, Koichi
Nomi, Kyoko
Nakamura, Fumihiko
author_facet Kitagawa, Daisuke
Ochi, Anna
Kurimoto, Toru
Kasamatsu, Takehito
Shiraishi, Naoyuki
Suzuki, Soma
Shintani, Yui
Furumori, Madoka
Suzuki, Yuki
Nakano, Akiyo
Nakano, Ryuichi
Yano, Hisakazu
Maeda, Koichi
Nomi, Kyoko
Nakamura, Fumihiko
author_sort Kitagawa, Daisuke
collection PubMed
description We report a case of infection of the middle finger of a 69-year-old man who visited our hospital. Pus was collected from the erythematous and swollen area of the nail cage of the left-hand middle finger and evaluated in our microbiology laboratory. Gram staining of the specimen revealed multinucleated leukocytes and abundant gram-negative bacilli. Isolated colonies were identified as Pasteurella bettyae using VITEK MS and 16 S ribosomal RNA (rRNA) gene sequencing. The patient's blood test results improved after treatment with penicillin, but the local factors affecting the finger did not improve, and amputation of the middle finger had to be performed. This case represents a report of a very rare hand infection caused by P. bettyae. Polymorphic identification methods, such as MALDI-TOF MS and 16 S rRNA gene sequencing, are needed for members of the genus Pasteurella isolated from severe infections and abnormal sites, and further studies are warranted.
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spelling pubmed-102064172023-05-25 Pasteurella bettyae infection requiring finger amputation due to rapid deterioration and tissue damage Kitagawa, Daisuke Ochi, Anna Kurimoto, Toru Kasamatsu, Takehito Shiraishi, Naoyuki Suzuki, Soma Shintani, Yui Furumori, Madoka Suzuki, Yuki Nakano, Akiyo Nakano, Ryuichi Yano, Hisakazu Maeda, Koichi Nomi, Kyoko Nakamura, Fumihiko IDCases Case Report We report a case of infection of the middle finger of a 69-year-old man who visited our hospital. Pus was collected from the erythematous and swollen area of the nail cage of the left-hand middle finger and evaluated in our microbiology laboratory. Gram staining of the specimen revealed multinucleated leukocytes and abundant gram-negative bacilli. Isolated colonies were identified as Pasteurella bettyae using VITEK MS and 16 S ribosomal RNA (rRNA) gene sequencing. The patient's blood test results improved after treatment with penicillin, but the local factors affecting the finger did not improve, and amputation of the middle finger had to be performed. This case represents a report of a very rare hand infection caused by P. bettyae. Polymorphic identification methods, such as MALDI-TOF MS and 16 S rRNA gene sequencing, are needed for members of the genus Pasteurella isolated from severe infections and abnormal sites, and further studies are warranted. Elsevier 2023-05-08 /pmc/articles/PMC10206417/ /pubmed/37234727 http://dx.doi.org/10.1016/j.idcr.2023.e01791 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Kitagawa, Daisuke
Ochi, Anna
Kurimoto, Toru
Kasamatsu, Takehito
Shiraishi, Naoyuki
Suzuki, Soma
Shintani, Yui
Furumori, Madoka
Suzuki, Yuki
Nakano, Akiyo
Nakano, Ryuichi
Yano, Hisakazu
Maeda, Koichi
Nomi, Kyoko
Nakamura, Fumihiko
Pasteurella bettyae infection requiring finger amputation due to rapid deterioration and tissue damage
title Pasteurella bettyae infection requiring finger amputation due to rapid deterioration and tissue damage
title_full Pasteurella bettyae infection requiring finger amputation due to rapid deterioration and tissue damage
title_fullStr Pasteurella bettyae infection requiring finger amputation due to rapid deterioration and tissue damage
title_full_unstemmed Pasteurella bettyae infection requiring finger amputation due to rapid deterioration and tissue damage
title_short Pasteurella bettyae infection requiring finger amputation due to rapid deterioration and tissue damage
title_sort pasteurella bettyae infection requiring finger amputation due to rapid deterioration and tissue damage
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10206417/
https://www.ncbi.nlm.nih.gov/pubmed/37234727
http://dx.doi.org/10.1016/j.idcr.2023.e01791
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