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Updated: Sep 30, 2025

A Delayed Inoculation Model of Chronic Pseudomonas aeruginosa Wound Infection
Published on: February 20, 2020
Community-acquired Pseudomonas aeruginosa Osteomyelitis Caused by an Injury from a Dishwasher
Yoshiyuki Matsuki1, Sayaka Tanabe2, Takayuki Yokozawa3
1Department of Infectious Diseases, Showa General Hospital, Japan.
Abstract:
A 70-year-old healthy woman came to our hospital with right index finger pain and swelling after an injury incurred due to a commercial dishwasher. X-ray of the hand showed osteolysis around the distal interphalangeal joint. A further examination revealed Pseudomonas aeruginosa in the unexposed pus, so the patient was treated with a total of 10 weeks of cefepime, followed by levofloxacin and debridement twice. While this may have been a case of bacterial replacement, we should still consider P. aeruginosa infection in healthy adults when faced with an episode of waterborne injury.
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