Osteomyelitis and bacteremia by Leclercia adecarboxylata in an immunocompetent patient: A case report

Background: Leclercia adecarboxylata is a facultative aerobic, gram-negative bacillus that belongs to the Enterobacteriaceae family. L. adecarboxylata isolated in clinically apparent human infections is rare and most commonly occurs in immunocompromised patients. Osteomyelitis associated with L. ade...

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Main Authors: Samantha Andersen, Nathan Travers, Addie Billington, Zackary Franzen
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Clinical Infection in Practice
Online Access:http://www.sciencedirect.com/science/article/pii/S2590170224000098
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author Samantha Andersen
Nathan Travers
Addie Billington
Zackary Franzen
author_facet Samantha Andersen
Nathan Travers
Addie Billington
Zackary Franzen
author_sort Samantha Andersen
collection DOAJ
description Background: Leclercia adecarboxylata is a facultative aerobic, gram-negative bacillus that belongs to the Enterobacteriaceae family. L. adecarboxylata isolated in clinically apparent human infections is rare and most commonly occurs in immunocompromised patients. Osteomyelitis associated with L. adecarboxylata is very rare. Case Report: We describe a case of a 63-year-old immunocompetent male who developed L. adecarboxylata bacteremia and osteomyelitis 3 weeks after an open reduction and internal fixation of his left ankle. Results: He was treated with above-the-knee amputation and broad-spectrum antibiotics. He recovered well and was discharged to a skilled nursing facility with IV antibiotics. Conclusion: This unique case of Lecleria adecarboxylata isolated in an immunocompetent patient reiterates the importance of identifying and isolating the bacteria responsible for osteomyelitis in a timely manner.
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spelling doaj.art-94bb526ca6b0479986f8b00ec07ef0082024-03-05T04:30:55ZengElsevierClinical Infection in Practice2590-17022024-01-0121100349Osteomyelitis and bacteremia by Leclercia adecarboxylata in an immunocompetent patient: A case reportSamantha Andersen0Nathan Travers1Addie Billington2Zackary Franzen3University of Illinois College of Medicine Rockford, Rockford, United States; Corresponding author at: University of Illinois College of Medicine Rockford, 1601 Parkview Ave, Rockford, IL 61107, United States.University of Illinois College of Medicine Rockford, Rockford, United StatesUniversity of Illinois College of Medicine Rockford, Rockford, United StatesDepartment of Internal Medicine, OSF St. Anthony Medical Center, Rockford, United StatesBackground: Leclercia adecarboxylata is a facultative aerobic, gram-negative bacillus that belongs to the Enterobacteriaceae family. L. adecarboxylata isolated in clinically apparent human infections is rare and most commonly occurs in immunocompromised patients. Osteomyelitis associated with L. adecarboxylata is very rare. Case Report: We describe a case of a 63-year-old immunocompetent male who developed L. adecarboxylata bacteremia and osteomyelitis 3 weeks after an open reduction and internal fixation of his left ankle. Results: He was treated with above-the-knee amputation and broad-spectrum antibiotics. He recovered well and was discharged to a skilled nursing facility with IV antibiotics. Conclusion: This unique case of Lecleria adecarboxylata isolated in an immunocompetent patient reiterates the importance of identifying and isolating the bacteria responsible for osteomyelitis in a timely manner.http://www.sciencedirect.com/science/article/pii/S2590170224000098
spellingShingle Samantha Andersen
Nathan Travers
Addie Billington
Zackary Franzen
Osteomyelitis and bacteremia by Leclercia adecarboxylata in an immunocompetent patient: A case report
Clinical Infection in Practice
title Osteomyelitis and bacteremia by Leclercia adecarboxylata in an immunocompetent patient: A case report
title_full Osteomyelitis and bacteremia by Leclercia adecarboxylata in an immunocompetent patient: A case report
title_fullStr Osteomyelitis and bacteremia by Leclercia adecarboxylata in an immunocompetent patient: A case report
title_full_unstemmed Osteomyelitis and bacteremia by Leclercia adecarboxylata in an immunocompetent patient: A case report
title_short Osteomyelitis and bacteremia by Leclercia adecarboxylata in an immunocompetent patient: A case report
title_sort osteomyelitis and bacteremia by leclercia adecarboxylata in an immunocompetent patient a case report
url http://www.sciencedirect.com/science/article/pii/S2590170224000098
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