Soft tissue infections with arcanobacterium haemolyticum: Report of three cases

We report here three polymicrobial wound infections associated with Arcanobacterium haemolyticum in rural patients aged between 60-65 years. In two patients, one with cellulitis and the other with postoperative wound infection following amputation of the limb, Arcanobacterium haemolyticum was isolat...

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Bibliographic Details
Published in:Indian journal of medical microbiology 2008-04, Vol.26 (2), p.192-195
Main Authors: Malini, A, Deepa, EK, Manohar, PV, Borappa, K, Prasad, SR
Format: Article
Language:English
Subjects:
Actinomycetaceae - isolation & purification
Actinomycetales Infections - complications
Actinomycetales Infections - diagnosis
Actinomycetales Infections - drug therapy
Aged
Anti-Bacterial Agents - pharmacology
Anti-Bacterial Agents - therapeutic use
Arcanobacterium haemolyticum
Arcanobacterium haemolyticum, mixed infections, soft tissue infections
Cellulitis - microbiology
Diabetes Complications
Female
Humans
Male
Microbial Sensitivity Tests
Middle Aged
mixed infections
Osteomyelitis - complications
Proteus Infections - complications
Proteus Infections - microbiology
Proteus vulgaris - isolation & purification
Rural Population
soft tissue infections
Soft Tissue Infections - microbiology
Streptococcal Infections - complications
Streptococcal Infections - microbiology
Streptococcus - isolation & purification
Surgical Wound Infection - microbiology
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Summary:We report here three polymicrobial wound infections associated with Arcanobacterium haemolyticum in rural patients aged between 60-65 years. In two patients, one with cellulitis and the other with postoperative wound infection following amputation of the limb, Arcanobacterium haemolyticum was isolated repeatedly along with β haemolytic streptococci (BHS). The BHS belonged to Lancefield′s group G and group C respectively. In another patient, who was a diabetic with chronic osteomyelitis, Arcanobacterium haemolyticum was isolated along with Proteus vulgaris . All the three isolates of Arcanobacterium haemolyticum isolated by us were uniformly resistant to cotrimoxazole and sensitive to penicillin, erythromycin, clindamycin, ciprofloxacin and gentamicin. Erythromycin alone or combined therapy of penicillin with erythromycin or penicillin with ciprofloxacin was effective in treating these infections.
ISSN:0255-0857
DOI:10.1016/S0255-0857(21)01945-9