Pasteurella bettyae infection requiring finger amputation due to rapid deterioration and tissue damage

We report a case of infection of the middle finger of a 69-year-old man who visited our hospital. Pus was collected from the erythematous and swollen area of the nail cage of the left-hand middle finger and evaluated in our microbiology laboratory. Gram staining of the specimen revealed multinucleat...

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Main Authors: Daisuke Kitagawa, Anna Ochi, Toru Kurimoto, Takehito Kasamatsu, Naoyuki Shiraishi, Soma Suzuki, Yui Shintani, Madoka Furumori, Yuki Suzuki, Akiyo Nakano, Ryuichi Nakano, Hisakazu Yano, Koichi Maeda, Kyoko Nomi, Fumihiko Nakamura
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:IDCases
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Online Access:http://www.sciencedirect.com/science/article/pii/S2214250923001154
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author Daisuke Kitagawa
Anna Ochi
Toru Kurimoto
Takehito Kasamatsu
Naoyuki Shiraishi
Soma Suzuki
Yui Shintani
Madoka Furumori
Yuki Suzuki
Akiyo Nakano
Ryuichi Nakano
Hisakazu Yano
Koichi Maeda
Kyoko Nomi
Fumihiko Nakamura
author_facet Daisuke Kitagawa
Anna Ochi
Toru Kurimoto
Takehito Kasamatsu
Naoyuki Shiraishi
Soma Suzuki
Yui Shintani
Madoka Furumori
Yuki Suzuki
Akiyo Nakano
Ryuichi Nakano
Hisakazu Yano
Koichi Maeda
Kyoko Nomi
Fumihiko Nakamura
author_sort Daisuke Kitagawa
collection DOAJ
description We report a case of infection of the middle finger of a 69-year-old man who visited our hospital. Pus was collected from the erythematous and swollen area of the nail cage of the left-hand middle finger and evaluated in our microbiology laboratory. Gram staining of the specimen revealed multinucleated leukocytes and abundant gram-negative bacilli. Isolated colonies were identified as Pasteurella bettyae using VITEK MS and 16 S ribosomal RNA (rRNA) gene sequencing. The patient's blood test results improved after treatment with penicillin, but the local factors affecting the finger did not improve, and amputation of the middle finger had to be performed. This case represents a report of a very rare hand infection caused by P. bettyae. Polymorphic identification methods, such as MALDI-TOF MS and 16 S rRNA gene sequencing, are needed for members of the genus Pasteurella isolated from severe infections and abnormal sites, and further studies are warranted.
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spelling doaj.art-f519c102b355474b87e70d4b716d476d2023-06-07T04:48:16ZengElsevierIDCases2214-25092023-01-0132e01791Pasteurella bettyae infection requiring finger amputation due to rapid deterioration and tissue damageDaisuke Kitagawa0Anna Ochi1Toru Kurimoto2Takehito Kasamatsu3Naoyuki Shiraishi4Soma Suzuki5Yui Shintani6Madoka Furumori7Yuki Suzuki8Akiyo Nakano9Ryuichi Nakano10Hisakazu Yano11Koichi Maeda12Kyoko Nomi13Fumihiko Nakamura14Department of Laboratory Medicine, Nara Prefecture General Medical Center, Japan; Department of Microbiology and Infectious Diseases, Nara Medical University, Japan; Correspondence to: Department of Laboratory Medicine, Nara Prefecture General Medical Center, 2-897-5, Shichijonishimachi, Nara-city, Nara 630-8581, Japan.Department of Dermatology, Nara Prefecture General Medical Center, JapanDepartment of Dermatology, Nara Prefecture General Medical Center, JapanDepartment of Infectious Diseases, Nara Prefecture General Medical Center, JapanDepartment of Infectious Diseases, Nara Prefecture General Medical Center, JapanDepartment of Laboratory Medicine, Nara Prefecture General Medical Center, JapanDepartment of Laboratory Medicine, Nara Prefecture General Medical Center, JapanDepartment of Laboratory Medicine, Nara Prefecture General Medical Center, JapanDepartment of Microbiology and Infectious Diseases, Nara Medical University, JapanDepartment of Microbiology and Infectious Diseases, Nara Medical University, JapanDepartment of Microbiology and Infectious Diseases, Nara Medical University, JapanDepartment of Microbiology and Infectious Diseases, Nara Medical University, JapanDepartment of Infectious Diseases, Nara Prefecture General Medical Center, JapanDepartment of Dermatology, Nara Prefecture General Medical Center, JapanDepartment of Laboratory Medicine, Nara Prefecture General Medical Center, JapanWe report a case of infection of the middle finger of a 69-year-old man who visited our hospital. Pus was collected from the erythematous and swollen area of the nail cage of the left-hand middle finger and evaluated in our microbiology laboratory. Gram staining of the specimen revealed multinucleated leukocytes and abundant gram-negative bacilli. Isolated colonies were identified as Pasteurella bettyae using VITEK MS and 16 S ribosomal RNA (rRNA) gene sequencing. The patient's blood test results improved after treatment with penicillin, but the local factors affecting the finger did not improve, and amputation of the middle finger had to be performed. This case represents a report of a very rare hand infection caused by P. bettyae. Polymorphic identification methods, such as MALDI-TOF MS and 16 S rRNA gene sequencing, are needed for members of the genus Pasteurella isolated from severe infections and abnormal sites, and further studies are warranted.http://www.sciencedirect.com/science/article/pii/S2214250923001154Pasteurella bettyaeFinger infectionMatrix-assisted laser desorption-ionization time-of-flight mass spectrometry16S ribosomal RNA gene sequencingCase report
spellingShingle Daisuke Kitagawa
Anna Ochi
Toru Kurimoto
Takehito Kasamatsu
Naoyuki Shiraishi
Soma Suzuki
Yui Shintani
Madoka Furumori
Yuki Suzuki
Akiyo Nakano
Ryuichi Nakano
Hisakazu Yano
Koichi Maeda
Kyoko Nomi
Fumihiko Nakamura
Pasteurella bettyae infection requiring finger amputation due to rapid deterioration and tissue damage
IDCases
Pasteurella bettyae
Finger infection
Matrix-assisted laser desorption-ionization time-of-flight mass spectrometry
16S ribosomal RNA gene sequencing
Case report
title Pasteurella bettyae infection requiring finger amputation due to rapid deterioration and tissue damage
title_full Pasteurella bettyae infection requiring finger amputation due to rapid deterioration and tissue damage
title_fullStr Pasteurella bettyae infection requiring finger amputation due to rapid deterioration and tissue damage
title_full_unstemmed Pasteurella bettyae infection requiring finger amputation due to rapid deterioration and tissue damage
title_short Pasteurella bettyae infection requiring finger amputation due to rapid deterioration and tissue damage
title_sort pasteurella bettyae infection requiring finger amputation due to rapid deterioration and tissue damage
topic Pasteurella bettyae
Finger infection
Matrix-assisted laser desorption-ionization time-of-flight mass spectrometry
16S ribosomal RNA gene sequencing
Case report
url http://www.sciencedirect.com/science/article/pii/S2214250923001154
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