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Cefoperazone-treated Mouse Model of Clinically-relevant Clostridium difficile Strain R20291
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Wound Infection with Multi-Drug Resistant Clostridium Perfringens: A Case Study.

R Khandia1, N Puranik1, D Bhargava1

  • 1Department of Biochemistry and Genetics, Barkatullah University, Bhopal 462026 MP, India.

Archives of Razi Institute
|March 31, 2022
PubMed
Summary
This summary is machine-generated.

A multi-drug resistant Clostridium perfringens caused a severe wound infection, leading to toe amputation. This isolate showed resistance to 40 antibiotics, highlighting the urgent need for new treatments.

Keywords:
Gas gangreneMulti-drug resistanceWoundClostridium Perfringens

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Area of Science:

  • Microbiology
  • Infectious Diseases
  • Medical Research

Background:

  • Antibiotic resistance is a growing global health threat, complicating the treatment of bacterial infections.
  • The misuse and overuse of antibiotics contribute to the rise of multi-drug resistant (MDR) bacterial strains.
  • Effective treatment of wound infections is crucial, especially with increasing antibiotic resistance.

Observation:

  • A case study investigated a 60-year-old male patient with a wound infection caused by a MDR bacterium.
  • Culture media (MacConkey Agar, Mueller Hinton Agar) and disc diffusion methods were used for identification and sensitivity testing.
  • The isolated Gram-positive bacterium was identified as Clostridium perfringens, responsible for gas gangrene.

Findings:

  • The MDR Clostridium perfringens isolate exhibited resistance to 40 tested antibiotics.
  • Sensitivity was observed only to the antibiotic combination Piperacillin/Tazobactam.
  • This represents the first reported case of MDR Clostridium perfringens resistant to such a large number of antibiotics.

Implications:

  • The case underscores the critical challenge posed by MDR bacteria in clinical settings.
  • Surgical intervention (toe amputation) was necessary due to the severity of the infection.
  • Further research is essential to develop novel antimicrobial agents effective against MDR organisms without cross-resistance.