1887

Abstract

Introduction:

Wound infections with , a Gram-negative bacterium found in all temperate oceans, are rarely reported. However, a rising incidence of wound infections caused by requires better knowledge about this infectious agent.

Case presentation:

We report the case of a 14-year-old boy suffering from a wound infection caused by and after stepping on a sea urchin. Despite wound debridement and antibiotic therapy with cefaclor, the lesion did not heal over several weeks. After identification of the pathogens and antibiotic-susceptibility testing, antibiotic therapy was switched to ciprofloxacin, followed by trimethoprim/sulfamethoxazole. Two months after the accident the wound was re-epithelialized. Follow up after 6 months revealed a painful scar.

Conclusion:

Non-cholera vibrios like should be considered as possible causative agents in seawater-contaminated wounds. is a relevant pathogen in mixed wound infections. Early microbiological diagnosis and antibiotic-susceptibility testing is crucial to prevent therapeutic failure.

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2016-11-01
2020-04-08
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