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Unveiling the uncommon: A rare case report of osteomyelitis caused by Enterococcusavium
Priya Sreenivasan1, Rishin Raj2, J Kumaravel2
1Department of Medical Microbiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India; Department of Microbiology, All India Institute of Medical Sciences, Vijaypur, Jammu, India.
Abstract:
Osteomyelitis is an infection or inflammation of the bone. Infection of an intact bone is very rare, and osteomyelitis most often follows a fracture or surgery. Staphylococcus aureus is the most common organism implicated in cases of osteomyelitis. Enterococcus species are being increasingly reported worldwide for causing nosocomial and community-acquired infections. Despite a few reports of osteomyelitis by Enterococcus faecalis and Enterococcus faecium, osteomyelitis by Enterococcus avium is rarely reported in the literature. We hereby present a case of a 68-year-old male who presented with chronic osteomyelitis of the right tibia caused by Enterococcus avium with a successful outcome.
Insights
Osteomyelitis, a bone infection, is rarely caused by Enterococcus avium. This case study details a successful treatment of chronic tibial osteomyelitis due to Enterococcus avium in an elderly male.
Area of Science:
- Infectious Diseases
- Microbiology
- Orthopedic Surgery
Background:
- Osteomyelitis is a bone infection, often following trauma or surgery.
- Staphylococcus aureus is the most common pathogen, but Enterococcus species are emerging.
- Osteomyelitis caused by Enterococcus avium is exceptionally rare in medical literature.
Observation:
- A 68-year-old male presented with chronic osteomyelitis affecting his right tibia.
- The causative pathogen identified was Enterococcus avium.
- The patient's condition was successfully managed.
Findings:
- This report highlights a rare case of chronic osteomyelitis caused by Enterococcus avium.
- Successful treatment outcomes are demonstrated for this uncommon pathogen.
- The study contributes to the limited existing literature on Enterococcus avium-induced osteomyelitis.
Implications:
- Clinicians should consider Enterococcus avium in the differential diagnosis of refractory osteomyelitis, especially in cases with unclear etiology.
- This case underscores the importance of accurate microbiological identification for appropriate treatment strategies.
- Further research into Enterococcus avium epidemiology and treatment is warranted to guide clinical practice.
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