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Panaritium ossale et articulare caused by Moraxella nonliquefaciens

K Piontek1, C Herrmann-Czylwik

  • 1Institut für Medizinische Mikrobiologie und Serologie, Klinikums der Stadt Ludwigshafen am Rhein, Germany.

Infection
|September 1, 1993
PubMed

Insights

This case study details a rare bone and joint infection caused by Moraxella nonliquefaciens in an 80-year-old patient. Effective treatment involved surgery, antiseptic care, and antibiotics, leading to a full recovery.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Orthopedics

Background:

  • Soft tissue, bone, or joint infections due to Moraxella species are infrequently documented.
  • Moraxella spp. are typically associated with respiratory tract infections, making invasive infections rare.

Observation:

  • An 80-year-old patient with diabetes mellitus and liver insufficiency presented with a panaritium ossale et articulare (bone and joint infection of the finger).
  • The infection was confirmed to be caused by Moraxella nonliquefaciens.

Findings:

  • The patient underwent surgical intervention, received local antiseptic treatment, and was administered a course of aminopenicillins combined with beta-lactamase inhibitors.
  • Complete resolution of the infection was achieved within 10 days of treatment initiation.

Implications:

  • This case highlights Moraxella nonliquefaciens as a potential pathogen in invasive bone and joint infections, particularly in immunocompromised individuals.
  • The successful treatment regimen suggests a viable therapeutic approach for similar rare infections.
  • Further research into Moraxella spp. invasive infections is warranted to improve understanding and clinical management.

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