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A Delayed Inoculation Model of Chronic Pseudomonas aeruginosa Wound Infection
Published on: February 20, 2020
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.
Abstract:
We report a case of posttraumatic skin and soft-tissue infection in a patient with a left thigh wound after a traffic accident. Pseudomonas fulva was isolated from a wound aspirate and was identified to the species level by Maldi-tof. The patient responded to drainage, debridement of wound, and two weeks of intravenous antibiotic therapy. Follow-up after 3 weeks was satisfactory with healthy cover of the injured area.
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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