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Ewingella americana: an emerging true pathogen.

Syed Hassan1, Syed Amer, Chetan Mittal

  • 1Division of Internal Medicine, Henry Ford Hospital, Detroit, MI 48202, USA.

Case Reports in Infectious Diseases
|July 5, 2012
PubMed
Summary
This summary is machine-generated.

Ewingella americana infections are rare, usually affecting immunocompromised individuals. This case highlights E. americana causing severe bone and joint infection in an intravenous drug user.

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Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Orthopedic Surgery

Background:

  • Ewingella americana is a rare bacterial pathogen.
  • Infections are infrequently documented, primarily in immunocompromised hosts.
  • Osteomyelitis and septic arthritis are serious joint and bone infections.

Purpose of the Study:

  • To report a rare case of Ewingella americana infection.
  • To describe the clinical presentation in an immunocompromised patient.
  • To highlight the identification of the pathogen.

Main Methods:

  • Case report.
  • Analysis of synovial fluid.
  • Bacterial culture and identification.

Main Results:

  • Ewingella americana was identified as the causative agent.
  • The infection manifested as osteomyelitis and septic arthritis of the shoulder.
  • The patient had a history of intravenous drug abuse.

Conclusions:

  • Ewingella americana can cause severe osteomyelitis and septic arthritis.
  • Intravenous drug abuse may be a risk factor for E. americana infection.
  • Prompt pathogen identification is crucial for treatment.