Olmos-Alpiste Ferran, Ezquerra Gemma Martin, Pujol Ramon M
Department of Dermatology, Hospital del Mar - Parc de Salut Mar, Barcelona, Spain.
Indian J Dermatol Venereol Leprol. 2022 Sep-Oct;88(5):633-635. doi: 10.25259/IJDVL_1069_19.
Pantoea agglomerans is a ubiquitous gram-negative bacterium that has been linked to skin and joint infections secondary to plant injuries. Herein we report a 58-year-old woman who presented with 2 erythematous nodules with purulent discharge on the anterior aspect of the right leg that developed after a penetrating plant injury. The patient was initially treated with amoxicillin-clavulanic acid, cloxacillin and clindamycin without improvement. P. agglomerans was isolated from both exudate and skin biopsy cultures. Healing of the lesions was achieved after the spontaneous release of a retained plant fragment and treatment with cotrimoxazole. Identification of P. agglomerans in persistent exudative lesions should alert the clinician regarding a possible previous plant injury and retained vegetal fragments. Conventional antibiotic treatment and the extraction of retained foreign bodies usually lead to complete resolution.
成团泛菌是一种普遍存在的革兰氏阴性菌，与植物损伤继发的皮肤和关节感染有关。在此，我们报告一名58岁女性，其右腿前部出现2个伴有脓性分泌物的红斑结节，这些结节在穿透性植物损伤后出现。患者最初接受阿莫西林 - 克拉维酸、氯唑西林和克林霉素治疗，但病情无改善。从渗出液和皮肤活检培养物中均分离出成团泛菌。在滞留的植物碎片自行排出并接受复方新诺明治疗后，病变得以愈合。在持续性渗出性病变中鉴定出成团泛菌应提醒临床医生注意可能先前存在的植物损伤和滞留的植物碎片。常规抗生素治疗和取出滞留异物通常可导致完全治愈。
