, not only an environmental bacterium, but a potential opportunistic threat: Case report of an osteitis with skin necrosis and mini review of the literature.

BACKGROUND

, previously known as , is an environmental bacterium rarely associated with human pathologies. Rare case reports mention sepsis, meningitis and implantable defibrillator infection.

CASE PRESENTATION

A 67-year-old female with multiple comorbidities was referred to the emergency room for a comminuted fracture of both right tibial plateaus secondary to a fall and for which she benefited from an external fixator. After removal of the fixator, failure of osteosynthesis and placement of a new fixator, a skin necrosis appeared and a propeller distal anteromedial thigh perforator flap was performed. After 6 weeks, she presented a necrosis of the flap and an osteitis. The bone biopsy was positive with pure . The patient underwent an above-knee amputation, but 6 weeks later the wound was dehiscent and again positive with pure .

CONCLUSIONS

Serious infections due to are uncommon but can occur in immunocompromised patients. This case illustrates the first reported osteitis and skin necrosis due to .