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Bacillus cereus fasciitis: a unique pathogen and clinically challenging sequela of inoculation
Andrew Rosenbaum1, Dean Papaliodis, Maxwell Alley
1Division of Orthopaedic Surgery, Albany Medical Center, Albany, NY 12206, USA. andrewjrosenbaum@gmail.com
Abstract:
Bacillus cereus is an aerobic, spore-forming, gram-positive rod. It has historically been associated with "fried rice syndrome," a foodborne diarrheal and emetic illness resulting from eating fried rice dishes that have been sitting at room temperature for hours. We report the case of a 9-year-old boy who developed culture-positive B cereus fasciitis of the right lower extremity after being impaled on a tree branch. This case report further elucidates and emphasizes the importance of recognizing B cereus as a possible cause of severe soft-tissue infection. It must be included in the differential diagnosis of gas gangrene and necrotizing fasciitis.
Insights
Bacillus cereus can cause severe soft-tissue infections, not just food poisoning. This case highlights the need to consider this bacterium in diagnosing serious infections like gas gangrene.
Area of Science:
- Microbiology
- Infectious Diseases
- Clinical Case Reports
Background:
- Bacillus cereus is an aerobic, spore-forming, gram-positive bacterium.
- Historically linked to foodborne illness, known as "fried rice syndrome."
- Typically causes diarrheal and emetic illness after consuming contaminated food left at room temperature.
Observation:
- A case report of a 9-year-old boy with a severe soft-tissue infection.
- The infection occurred in the right lower extremity.
- The patient was impaled on a tree branch prior to infection onset.
Findings:
- Culture-positive Bacillus cereus fasciitis was diagnosed.
- Demonstrates B. cereus as a causative agent of severe soft-tissue infections.
- The case emphasizes the bacterium's potential beyond gastrointestinal illness.
Implications:
- Highlights the importance of recognizing B. cereus in severe soft-tissue infections.
- Recommends including B. cereus in the differential diagnosis for gas gangrene and necrotizing fasciitis.
- Underscores the need for broader clinical awareness of Bacillus cereus pathogenicity.
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