Journal article
Escherichia hermannii as the sole cause of osteomyelitis in a patient with an open tibial shaft fracture
BMJ case reports, Vol.12(11), p.e231206
11/26/2019
DOI: 10.1136/bcr-2019-231206
PMCID: PMC6887438
PMID: 31776149
Abstract
Escherichia hermannii is a rare monomicrobial cause of infection in humans. E. hermannii has never before been reported as the sole isolate from an infected open tibia fracture. We present a case of E. hermannii infection after a type III open tibia fracture. The patient was initially treated with irrigation and debridement, open reduction internal fixation and primary wound closure. However, after 8 weeks, he developed a draining wound and infection at the fracture site. He required a repeat debridement, hardware removal, external fixation and 6 weeks of intravenous ceftriaxone for treatment. At 2-year follow-up, he remains infection free, asymptomatic and continues to work with excellent functional outcomes. This case adds to the growing literature that evidences E. hermannii as an organism that can be pathogenic, virulent and cause monomicrobial infection.
Details
- Title: Subtitle
- Escherichia hermannii as the sole cause of osteomyelitis in a patient with an open tibial shaft fracture
- Creators
- Jocelyn Compton - University of Iowa Hospitals and ClinicsMalynda Wynn - University of Iowa Hospitals and ClinicsMichael C Willey - University of IowaPoorani Sekar - University of Iowa
- Resource Type
- Journal article
- Publication Details
- BMJ case reports, Vol.12(11), p.e231206
- DOI
- 10.1136/bcr-2019-231206
- PMID
- 31776149
- PMCID
- PMC6887438
- NLM abbreviation
- BMJ Case Rep
- ISSN
- 1757-790X
- eISSN
- 1757-790X
- Language
- English
- Date published
- 11/26/2019
- Academic Unit
- Infectious Diseases; Orthopedics and Rehabilitation; Injury Prevention Research Center; Internal Medicine
- Record Identifier
- 9984304682902771
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