Cases reported "Wound Infection"

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1/3. Characterization of rhodococcus equi-like bacterium isolated from a wound infection in a noncompromised host.

    A case of superficial wound infection in a noncompromised host due to a rhodococcus equi-like organism, acquired from soil, is described. The strain grew poorly at 37 degrees C and showed several differences from wild-type R. equi in biochemical tests and in its fatty acid and mycolic acid compositions.
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2/3. brucella osteomyelitis of a closed femur fracture.

    A 19-year-old man incurred a closed femoral fracture complicated by hematogenous dissemination of brucella osteomyelitis. Repeated limited incision and drainage were ineffective in eradicating infection. Wide debridement, delayed wound closure, and vigorous antimicrobial therapy with streptomycin and tetracycline, along with cephalosporin for secondary staphylococcal infection, were necessary measures before the infection was eradicated. A constant awareness of brucella musculoskeletal infection is advisable when caring for patients frequently exposed to all kinds of livestock, including domesticated and wild animals.
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3/3. Nondomestic mammalian bites.

    life-threatening injuries resulting from wild animal bites are always treated first. Local wound management varies, depending on the type of wound and its location, but scrupulous cleansing and copious irrigation are mandatory. tetanus prophylaxis and rabies prophylaxis are provided according to accepted guidelines. antibiotic prophylaxis is not routinely necessary but is advisable for wounds of the hands or joints and for wounds in immunocompromised individuals.
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