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Related Experiment Videos

Prolonged cellulitis due to plant thorn.

A Bülent Cengiz1, Güler Kanra, Tolga Celik

  • 1Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.

The Turkish Journal of Pediatrics
|December 21, 2005
PubMed
Summary

A child

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Area of Science:

  • Pediatric infectious diseases
  • Medical imaging
  • Surgical case reports

Background:

  • Cellulitis in children typically responds to empiric antimicrobial therapy.
  • Persistent soft tissue infections warrant further investigation beyond initial treatment.
  • Foreign bodies can be a cause of recalcitrant infections.

Observation:

  • A five-year-old boy presented with a forearm abscess and soft tissue infection.
  • Initial treatment with sulbactam-ampicillin was ineffective despite bacterial susceptibility.
  • Imaging revealed a wooden foreign body in the distal forearm.

Findings:

  • Enterobacter cloacae was identified as the causative agent.
  • A 22 mm wooden foreign body was surgically removed.
  • The patient recovered fully after foreign body extraction.

Implications:

  • Emphasizes the importance of thorough medical history and advanced imaging in non-responsive cellulitis.
  • Highlights Enterobacter cloacae as a rare but possible pathogen in plant-related injuries.
  • Underscores the need to consider foreign bodies in pediatric soft tissue infections.

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