Posttraumatic Skin and Soft-Tissue Infection due to Pseudomonas fulva

Fernando Cobo1, Gemma Jiménez1, Javier Rodríguez-Granger1

  • 1Department of Microbiology, Complejo Hospitalario Universitario de Granada, Granada, Spain.

Insights

A rare bacterial infection caused by Pseudomonas fulva occurred in a post-traumatic thigh wound. Prompt treatment with drainage, debridement, and antibiotics led to a satisfactory recovery.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Trauma Surgery

Background:

  • Posttraumatic infections pose significant clinical challenges.
  • Traffic accidents can lead to severe skin and soft-tissue injuries.
  • Accurate identification of causative pathogens is crucial for effective treatment.

Purpose of the Study:

  • To report a case of posttraumatic skin and soft-tissue infection.
  • To highlight the isolation and identification of *Pseudomonas fulva* in a wound infection.
  • To describe the successful management and outcome of the infection.

Main Methods:

  • A patient with a left thigh wound following a traffic accident was assessed.
  • Wound aspirate was collected for microbiological analysis.
  • Identification of the isolated bacterium was performed using Matrix-Assisted Laser Desorption/Ionization-Time of Flight (Maldi-tof) mass spectrometry.
  • Treatment involved surgical drainage, wound debridement, and intravenous antibiotic administration.
  • Clinical follow-up was conducted to assess recovery.

Main Results:

  • *Pseudomonas fulva* was successfully isolated and identified from the wound aspirate.
  • The patient received two weeks of intravenous antibiotic therapy.
  • The infection resolved following drainage, debridement, and antibiotic treatment.
  • Follow-up at three weeks showed healthy healing of the injured area.

Conclusions:

  • *Pseudomonas fulva* can be a causative agent of posttraumatic skin and soft-tissue infections.
  • A combination of surgical intervention and targeted antibiotic therapy is effective in managing such infections.
  • Prompt diagnosis and treatment lead to favorable patient outcomes.

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