Community-acquired Pseudomonas aeruginosa Osteomyelitis Caused by an Injury from a Dishwasher

A 70-year-old healthy woman came to our hospital with right index finger pain and swelling after an injury incurred due to a commercial dishwasher. X-ray of the hand showed osteolysis around the distal interphalangeal joint. A further examination revealed Pseudomonas aeruginosa in the unexposed pus,...

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Detalles Bibliográficos
Autores principales: Matsuki, Yoshiyuki, Tanabe, Sayaka, Yokozawa, Takayuki, Li, Sayori, Oda, Toshimi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9424083/
https://www.ncbi.nlm.nih.gov/pubmed/35283373
http://dx.doi.org/10.2169/internalmedicine.7736-21
Descripción
Sumario:A 70-year-old healthy woman came to our hospital with right index finger pain and swelling after an injury incurred due to a commercial dishwasher. X-ray of the hand showed osteolysis around the distal interphalangeal joint. A further examination revealed Pseudomonas aeruginosa in the unexposed pus, so the patient was treated with a total of 10 weeks of cefepime, followed by levofloxacin and debridement twice. While this may have been a case of bacterial replacement, we should still consider P. aeruginosa infection in healthy adults when faced with an episode of waterborne injury.

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