Giovane Richard, Pernia Luis, Faught Wesley, Cumagen Pia, Comer James M
Family Medicine, The University of Alabama, Tuscaloosa, USA.
Plastic Surgery, Druid City Hospital (DCH) Regional Medical Center, Tuscaloosa, USA.
Cureus. 2025 Jul 24;17(7):e88655. doi: 10.7759/cureus.88655. eCollection 2025 Jul.
, a Gram-negative, facultatively anaerobic bacterium commonly isolated from aqueous and soil environments, is typically an opportunistic pathogen, particularly in immunocompromised hosts. Despite its low prevalence as a human pathogen, documented cases include urinary tract infections, acute cholecystitis, and sepsis. In contrast, methicillin-resistant (MRSA), a coagulase and catalase-positive Gram-positive organism, is frequently associated with a spectrum of infections, ranging from skin infections to severe conditions such as pneumonia and endocarditis. Furthermore, pathogenic species of , including , are recognized for their role in upper respiratory infections and other serious conditions. We report a novel case of cellulitis due to the coinfection of , MRSA, and in a patient who suffered a trauma to three toes from a lawnmower incident. Notably, the patient possessed no prior medical history or discernible immunocompromising factors, underscoring the unusual nature of this presentation. This case emphasizes the importance of obtaining intraoperative cultures and employing culture-directed antimicrobial therapy in managing complex, environmentally contaminated wounds.
[细菌名称]是一种革兰氏阴性兼性厌氧菌，通常从水生和土壤环境中分离出来，通常是一种机会性病原体，特别是在免疫功能低下的宿主中。尽管它作为人类病原体的患病率较低，但有记录的病例包括尿路感染、急性胆囊炎和败血症。相比之下，耐甲氧西林金黄色葡萄球菌（MRSA）是一种凝固酶和过氧化氢酶阳性的革兰氏阳性菌，经常与一系列感染相关，从皮肤感染到严重疾病如肺炎和心内膜炎。此外，[细菌名称]的致病菌种，包括[具体菌种]，因其在上呼吸道感染和其他严重疾病中的作用而被认可。我们报告了一例因割草机事故导致三个脚趾受伤的患者并发[细菌名称]、MRSA和[另一种细菌名称]感染而引起蜂窝织炎的新病例。值得注意的是，该患者既往无病史或可察觉的免疫功能低下因素，突出了这种表现的不寻常性质。该病例强调了在处理复杂的、受环境污染的伤口时获取术中培养物并采用针对培养结果的抗菌治疗的重要性。
