Diabetic Foot Gangrene Patient with Multi-drug Resistant Pseudomonas Putida Infection in Karawaci District, Indonesia

Pseudomonas putida is a rod-shaped, non fermenting Gram-negative organism frequently found in the environment that utilizes aerobic metabolism, previously thought to be of low pathogenicity. It had been reported as cause of skin and soft tissue infection, especially in immunocompromised patients. A...

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Bibliographic Details
Published in:Journal of global infectious diseases 2015-01, Vol.7 (1), p.37-39
Main Authors: Hardjo Lugito, Nata Pratama, Nawangsih, Cucu, Moksidy, Jevany Claudia, Kurniawan, Andree, Tjiang, Margaret Merlyn
Format: Article
Language:English
Subjects:
Amputation
Antibiotics
Bacteriology
Cardiac arrhythmia
Care and treatment
Case Report
Case studies
Diabetes
Diabetic foot
Diagnosis
Drug resistance
Fever
Foot diseases
Gangrene
Grocery stores
Health aspects
Laboratories
Metabolism
Mortality
Nosocomial infections
Pathogens
Patients
Protein folding
Pseudomonas putida
Signal transduction
Skin and soft tissue infection
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Summary:Pseudomonas putida is a rod-shaped, non fermenting Gram-negative organism frequently found in the environment that utilizes aerobic metabolism, previously thought to be of low pathogenicity. It had been reported as cause of skin and soft tissue infection, especially in immunocompromised patients. A female green grocer, 51 year-old came to internal medicine out-patient clinic with gangrene and osteomyelitis on her 1(st), 2(nd) and 3(rd) digit and wound on the sole of the right foot since 1 month prior. The patient had history of uncontrolled diabetes since a year ago. She was given ceftriaxone 2 grams b.i.d, metronidazole 500 mg t.i.d empirically and then amikacin 250 mg b.i.d, followed by amputation of the digits and wound debridement. The microorganism's culture from pus revealed multi drug resistant Pseudomonas putida. She recovered well after antibiotics and surgery.
ISSN:0974-777X
0974-8245
DOI:10.4103/0974-777X.146378