Litrenta Jody, Oetgen Matthew
Dept. of Orthopaedic Surgery, Children's National Medical Center, 111 Michigan Ave., Washington, DC 20010, United States.
Trauma Case Rep. 2017 Jan 18;8:41-45. doi: 10.1016/j.tcr.2017.01.019. eCollection 2017 Apr.
Deep infection following open both bone forearm fractures is a rare complication. Prophylactic antibiotic regimens are targeted at the most common pathogens, which include primarily followed by gram-negative bacteria. is an unusual pathogen that is rarely pathogenic in humans and has never been reported as a cause of infection following open fracture.
We present a 12-year-old male with an open forearm fracture who developed a late deep infection. Cultures grew only . The patient was treated with debridement, placement of antibiotic beads, and ciprofloxacin.
At 6 months following the initial debridement, the patient had no clinical evidence of infection and regained full function of the affected forearm without any residual deficits.
This is the first report of deep infection following an open forearm fracture owing to , a pathogen rarely responsible for human infection.
开放性双侧前臂骨折后的深部感染是一种罕见的并发症。预防性抗生素治疗方案针对的是最常见的病原体，主要包括革兰氏阳性菌，其次是革兰氏阴性菌。嗜麦芽窄食单胞菌是一种不常见的病原体，在人类中很少致病，从未被报道为开放性骨折后感染的原因。
我们报告一名12岁男性开放性前臂骨折患者发生了晚期深部感染。培养物仅培养出嗜麦芽窄食单胞菌。患者接受了清创、抗生素珠植入和环丙沙星治疗。
在初次清创后6个月，患者没有感染的临床证据，受影响的前臂恢复了全部功能，没有任何残留缺陷。
这是首例因嗜麦芽窄食单胞菌导致开放性前臂骨折后深部感染的报告，该病原体很少引起人类感染。
