Wohlfahrtiimonas chitiniclastica-associated wound infection: one case report
10.3760/cma.j.cn114452-20230919-00151
- VernacularTitle:污蝇解壳杆菌相关的伤口感染1例
- Author:
Jin OUYANG
1
;
Ziyan LI
;
Binghong BAO
;
Junfang FU
;
Changhong JIANG
;
Xin DING
;
Jun LONG
Author Information
1. 南方医科大学珠江医院检验医学部，广州 510282
- Keywords:
Wound infection;
Pathogenicity;
Identification;
Drug resistance;
Wohlfahrtiimonas chitiniclastica
- From:
Chinese Journal of Laboratory Medicine
2023;46(11):1197-1200
- CountryChina
- Language:Chinese
-
Abstract:
The male patient of middle-age was admitted to Zhujiang Hospital, Southern Medical University on September 5, 2020, due to wear and rupture of the left foot hallux for more than 10 days, gradually developed swelling and blackening of the left foot and accompanied by drowsiness for 1day. Results from etiological examination of his wound secretions suggested the mixed infection of Wohlfahrtiimonas chitiniclastica and Enterococcus faecalis. The disease progressed rapidly and the patient still died of septic shock after anti-infective treatment. The infection of W. chitiniclastica is rare and has a great relationship with poor hygiene and chronic open wounds. It is necessary to use matrix-assisted laser desorption/ionization-time of flight mass spectrometry or 16S ribosomal RNA gene sequencing for strain identification. Moreover, it is recommended to use cephalosporins or carbapenems as first-line drugs due to the poor prognosis of patients with bloodstream infections.
