Raval Pradyumna
Department of Orthopaedics, Wishaw General Hospital, Wishaw ML2 0DP, United Kingdom.
J Orthop Case Rep. 2019;9(5):70-73. doi: 10.13107/jocr.2250-0685.1540.
Staphylococcus lugdunensis is a skin commensal and its association with bone infections is rare. This case is first of its kind in literature where phalangeal osteomyelitis was caused by S. lugdunensis.
A 56-year-old man presented with a chronic history of index fingertip pain to the orthopedic clinic. There was a partial resolution of symptoms earlier when commenced on anti-inflammatory and antibiotics in community by the general practitioner. A thorough clinical and radiological evaluation followed by a surgical debridement completely cured his symptoms. S. lugdunensis was isolated on culture in this case.
Chronic finger-tip infections can be quite challenging to treat and one should have a high index of suspicion in treating such infections, especially with respect to the virulence of commensal micro-organisms.
路邓葡萄球菌是一种皮肤共生菌，它与骨感染的关联较为罕见。本文报道的这例由路邓葡萄球菌引起的指骨骨髓炎在文献中尚属首例。
一名56岁男性因食指指尖慢性疼痛前往骨科诊所就诊。全科医生曾在社区为其开具抗炎药和抗生素，症状曾有部分缓解。经过全面的临床和影像学评估，随后进行手术清创，彻底治愈了他的症状。本病例培养分离出了路邓葡萄球菌。
慢性指尖感染的治疗颇具挑战性，在治疗此类感染时应保持高度怀疑，尤其是对于共生微生物的毒力。
