Kreuger Marrigje Jacoba, Eshetu Anteneh, Fanta Ebenezer Gezahegn
Nordic Medical Centre, Addis Ababa, Ethiopia.
Department of Internal Medicine, Division of Infectious Diseases, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
IDCases. 2025 Apr 9;40:e02222. doi: 10.1016/j.idcr.2025.e02222. eCollection 2025.
, a Gram-negative bacterium, is typically associated with fight-bite injuries and, in rare cases, with infective endocarditis. Infection may arise either through direct inoculation or through invasion of oral mucosa with subsequent bacteraemia. This bacterium is an unusual cause of infection in immunocompetent patients without direct injury. There are no studies published from Ethiopia on identification of in humans. In this case report, we describe a patient with a septic arthritis and tibia bone abscess where was identified. Recognition of septic arthritis was delayed and identification of the microorganism was challenging. This influenced the choice and duration of treatment and has likely affected the patient's outcome. This case report emphasizes the significance of recognizing rare pathogens in complex cases, considering slow-growing microorganisms and anticipating treatment challenges when uncommon microorganisms are involved.
革兰氏阴性菌通常与斗殴咬伤相关,在罕见情况下与感染性心内膜炎有关。感染可能通过直接接种或口腔黏膜侵入随后发生菌血症而产生。这种细菌在没有直接损伤的免疫功能正常患者中是不常见的感染原因。埃塞俄比亚没有关于人类中该菌鉴定的研究发表。在本病例报告中,我们描述了一名患有化脓性关节炎和胫骨骨脓肿且鉴定出该菌的患者。化脓性关节炎的诊断被延迟,微生物的鉴定具有挑战性。这影响了治疗的选择和持续时间,并可能影响了患者的预后。本病例报告强调了在复杂病例中识别罕见病原体的重要性,考虑生长缓慢的微生物以及当涉及不常见微生物时预期治疗挑战。