An unusual case of osteomyelitis.

is a gram-positive organism found in food products as well as naturally occurring in air and on surfaces. We present the first known case of osteomyelitis caused by machine injection injury. The patient was treated with emergent surgical debridement as well as doxycycline for a soft tissue infection. Despite targeted therapy, the infection progressed to osteomyelitis and was treated successfully with additional surgical debridement and trimethoprim-sulfamethoxazole. There is sparse information on both infections and treatment of . We present our case report as well as a review of the literature on the epidemiology, susceptibility and treatment recommendations for infections.