Diabetic Foot Infection with Bacteroides pyogenes
Padmaja Ananth Shenoy1, Shashidhar Vishwanath1, Ravikumar Terikere Nagaraj1
1Department of Microbiology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Journal of Global Infectious Diseases
|January 12, 2022
Summary
Diabetic foot infections can be serious. This case highlights a rare infection by Bacteroides pyogenes, an anaerobic bacterium typically found in animal bites, in a diabetic patient.
Area of Science:
- Microbiology
- Infectious Diseases
- Diabetology
Background:
- Diabetic foot infections (DFIs) are a major complication of diabetes mellitus.
- DFIs present a significant socioeconomic burden due to high morbidity and mortality.
- The microbiota in DFIs is typically polymicrobial, often involving Gram-negative aerobes and anaerobes.
Observation:
- This report details a rare case of a diabetic foot infection.
- The causative agent identified was *Bacteroides pyogenes*, an obligate anaerobic Gram-negative bacillus.
- This bacterium is more commonly associated with polymicrobial animal bite wound infections.
Findings:
- *Bacteroides pyogenes* can be a causative agent in diabetic foot infections.
- The presence of this specific anaerobic bacillus in a DFI is unusual.
- This finding expands the known spectrum of pathogens implicated in diabetic limb infections.
Implications:
- Clinicians should consider a broader range of anaerobic bacteria in DFIs, even those typically linked to other infection types.
- This case may prompt further research into the role of *Bacteroides pyogenes* in diabetic complications.
- Understanding the diverse microbial landscape of DFIs is crucial for effective treatment strategies.
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