Gigi Roy, Flusser Gideon, Kadar Assaf, Salai Moshe, Elias Shlomo
Orthopedist, Division of Orthopedic Surgery, Tel Aviv Sourasky Medical Center, affiliated to the Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Radiologist, Division of Radiology, Tel Aviv Sourasky Medical Center, affiliated to the Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
J Foot Ankle Surg. 2017 Jul-Aug;56(4):851-853. doi: 10.1053/j.jfas.2017.02.008.
Osteomyelitis due to Ochrobactrum anthropi, a new genus Ochrobacterum widely distributed in the environment and occasionally associated with human infection, has been described in only a few case reports. We present a report of an unusual case of osteomyelitis caused by O. anthropi that was identified 9 years after a nail puncture to the lateral cuneiform bone. The patient was an 18-year-old male with a painful foot lesion that had originally been misdiagnosed as an osteolytic tumor. He underwent surgery and 2 firm pieces of rubber measuring 7 and 10 mm were removed from the lower portion of the lateral cuneiform bone, which appeared to be affected by an infection. After surgical debridement, O. anthropi was isolated from the bone cultures. The patient was successfully treated with a 6-week course of oral ciprofloxacin and clindamycin. At 1 year after the corrected diagnosis and appropriate treatment, he was symptom free and had resumed regular activities and an athletic lifestyle.
嗜水气单胞菌引起的骨髓炎，嗜水气单胞菌是一种广泛分布于环境中且偶尔与人类感染相关的新气单胞菌属，仅在少数病例报告中有所描述。我们报告一例不寻常的嗜水气单胞菌引起的骨髓炎病例，该病例是在外侧楔骨被钉子刺伤9年后确诊的。患者为一名18岁男性，足部有疼痛性病变，最初被误诊为溶骨性肿瘤。他接受了手术，从外侧楔骨下部取出了两块坚硬的橡胶片，尺寸分别为7毫米和10毫米，该部位似乎受到了感染。手术清创后，从骨培养物中分离出嗜水气单胞菌。患者接受了为期6周的口服环丙沙星和克林霉素治疗，治疗成功。在确诊并接受适当治疗1年后，他无症状，已恢复正常活动和运动生活方式。
