Aeromonas hydrophila Survives the Treatment of Posttraumatic Cellulitis in the Shelter of an Obscured Fish-Bone Fragment
Fish bone and/or spine puncture injuries can result in infection of the upper extremities with aquatic bacterial pathogens. Additionally, in such injuries, the inoculation of foreign organic material is frequent and may further complicate the clinical presentation and course of the resulting infecti...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Dermatological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2020/6498950 |
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| author | Areti Ganiatsa Constantina Gartzonika Georgios Gaitanis Paraskevi Voulgari Stamatina Levidiotou-Stefanou Ioannis D. Bassukas |
| author_facet | Areti Ganiatsa Constantina Gartzonika Georgios Gaitanis Paraskevi Voulgari Stamatina Levidiotou-Stefanou Ioannis D. Bassukas |
| author_sort | Areti Ganiatsa |
| collection | DOAJ |
| description | Fish bone and/or spine puncture injuries can result in infection of the upper extremities with aquatic bacterial pathogens. Additionally, in such injuries, the inoculation of foreign organic material is frequent and may further complicate the clinical presentation and course of the resulting infection. We describe the case of a 45-year-old female patient with a minimal fish rostrum puncture trauma acquired during preparation of fresh fish meal, which resulted in a galloping hand cellulitis. The alarming clinical presentation and the prompt response of the skin infection to clindamycin obscured the presence of inoculated fish rostrum remnants in the tissue that, three weeks later, gave rise to a foreign body granuloma, from which Aeromonas hydrophila was isolated. Final resolution was achieved with an additional two-week doxycycline treatment. In conclusion, the reported case highlights the potential of the accidentally implanted organic material, as are fish bones, not only to transfer uncommon pathogens but also to offer a sanctuary that favors microbial survival despite antibiotic therapy thus enabling latent or recurrent infections. |
| format | Article |
| id | doaj-art-89b5b545705f4ebb9a8ca98f94b45f7e |
| institution | Kabale University |
| issn | 2090-6463 2090-6471 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dermatological Medicine |
| spelling | doaj-art-89b5b545705f4ebb9a8ca98f94b45f7e2025-08-20T03:37:51ZengWileyCase Reports in Dermatological Medicine2090-64632090-64712020-01-01202010.1155/2020/64989506498950Aeromonas hydrophila Survives the Treatment of Posttraumatic Cellulitis in the Shelter of an Obscured Fish-Bone FragmentAreti Ganiatsa0Constantina Gartzonika1Georgios Gaitanis2Paraskevi Voulgari3Stamatina Levidiotou-Stefanou4Ioannis D. Bassukas5Department of Skin and Venereal Diseases, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, GreeceDepartment of Microbiology, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, GreeceDepartment of Skin and Venereal Diseases, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, GreeceRheumatology Clinic, Department of Internal Medicine, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, GreeceDepartment of Microbiology, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, GreeceDepartment of Skin and Venereal Diseases, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, GreeceFish bone and/or spine puncture injuries can result in infection of the upper extremities with aquatic bacterial pathogens. Additionally, in such injuries, the inoculation of foreign organic material is frequent and may further complicate the clinical presentation and course of the resulting infection. We describe the case of a 45-year-old female patient with a minimal fish rostrum puncture trauma acquired during preparation of fresh fish meal, which resulted in a galloping hand cellulitis. The alarming clinical presentation and the prompt response of the skin infection to clindamycin obscured the presence of inoculated fish rostrum remnants in the tissue that, three weeks later, gave rise to a foreign body granuloma, from which Aeromonas hydrophila was isolated. Final resolution was achieved with an additional two-week doxycycline treatment. In conclusion, the reported case highlights the potential of the accidentally implanted organic material, as are fish bones, not only to transfer uncommon pathogens but also to offer a sanctuary that favors microbial survival despite antibiotic therapy thus enabling latent or recurrent infections.http://dx.doi.org/10.1155/2020/6498950 |
| spellingShingle | Areti Ganiatsa Constantina Gartzonika Georgios Gaitanis Paraskevi Voulgari Stamatina Levidiotou-Stefanou Ioannis D. Bassukas Aeromonas hydrophila Survives the Treatment of Posttraumatic Cellulitis in the Shelter of an Obscured Fish-Bone Fragment Case Reports in Dermatological Medicine |
| title | Aeromonas hydrophila Survives the Treatment of Posttraumatic Cellulitis in the Shelter of an Obscured Fish-Bone Fragment |
| title_full | Aeromonas hydrophila Survives the Treatment of Posttraumatic Cellulitis in the Shelter of an Obscured Fish-Bone Fragment |
| title_fullStr | Aeromonas hydrophila Survives the Treatment of Posttraumatic Cellulitis in the Shelter of an Obscured Fish-Bone Fragment |
| title_full_unstemmed | Aeromonas hydrophila Survives the Treatment of Posttraumatic Cellulitis in the Shelter of an Obscured Fish-Bone Fragment |
| title_short | Aeromonas hydrophila Survives the Treatment of Posttraumatic Cellulitis in the Shelter of an Obscured Fish-Bone Fragment |
| title_sort | aeromonas hydrophila survives the treatment of posttraumatic cellulitis in the shelter of an obscured fish bone fragment |
| url | http://dx.doi.org/10.1155/2020/6498950 |
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