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A case of osteitis due to Staphylococcus aureus and Arcanobacterium bernardiae coinfection
Pascale Bemer1, Marion Eveillard, Sophie Touchais
1Department of Bacteriology, Nantes University Hospital, France. pascale.bemer@chu-nantes.fr
Abstract:
Arcanobacterium bernardiae human infections remain rare. Only 2 reports are described in the literature. We report on an immunocompetent patient with a long history of chronic osteitis who developed a polymicrobial infection of the knee. The initial isolation of Staphylococcus aureus confounded the diagnosis of A. bernardiae infection, which underlines the need for extended period of incubation and subcultures of enriched liquid culture media. A. bernardiae is a new bacterium implicated in osteoarticular infections.
Insights
Arcanobacterium bernardiae human infections are rare, with only two prior reports. This case highlights the bacterium
Area of Science:
- Infectious Diseases
- Microbiology
- Osteoarticular Infections
Background:
- Arcanobacterium bernardiae is a rarely reported cause of human infection.
- Osteoarticular infections require accurate and timely diagnosis for effective treatment.
Observation:
- A polymicrobial knee infection occurred in an immunocompetent patient with chronic osteitis.
- Initial diagnosis was complicated by the co-isolation of Staphylococcus aureus.
Findings:
- Arcanobacterium bernardiae was identified as a causative agent in this knee infection.
- Extended incubation and subculturing of enriched media were crucial for isolating A. bernardiae.
Implications:
- This case expands the known spectrum of A. bernardiae-related infections.
- Diagnostic laboratories should consider prolonged incubation for suspected A. bernardiae cases.
- A. bernardiae should be considered in the differential diagnosis of polymicrobial osteoarticular infections.
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