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Journals / Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi / 2019 / Cilt: 24 - Sayı: 3

Helcococcus kunzii Detected from the Wound Site After Bone Fracture: A Rare Agent

Kemik Fraktürü Sonrası Yara Yerinde Saptanan Helcococcus kunzii : Nadir Bir Etken

M ADLIM
Betül DÖNMEZ
EMEL ÇALIŞKAN
MEHMET ARICAN
Pages
250–253
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

This case supports the knowledge that H. kunzii can cause soft tissue infection with bacteria such as S. aureus.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Helcococcus kunzii is a gram-positive and catalase negative cocci that can be pathogenic especially in lower extremity wounds and cellulite of diabetic patients.
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Key Findings & Data:In the identification with VITEK 2 (bioMerieux, France), the bacteria were identified as S. aureus and H. kunzii.
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Conclusion & Impact:This case supports the knowledge that H. kunzii can cause soft tissue infection with bacteria such as S. aureus.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Helcococcus kunzii is a gram-positive and catalase negative cocci that can be pathogenic especially in lower extremity wounds and cellulite of diabetic patients. This study aimed to report the case of a diabetic patient with an advanced wound infection after bone fracture caused by H. kunzii with Staphylococcus aureus. Beta-haemolytic staphylococci-like colonies and alpha-haemolytic streptococci-like colonies were observed in the wound sample. Catalase and oxidase tests of alpha haemolytic colonies were found negative. In the identification with VITEK 2 (bioMerieux, France), the bacteria were identified as S. aureus and H. kunzii. H. kunzii isolate was susceptible to ampicillin, ceftriaxone, cefepime, cefotaxime and vancomycin; resistant to erythromycin and clindamycin. Amoxicillin-clavulanic acid was used for the treatment of the patient, and the patient recovered. This case supports the knowledge that H. kunzii can cause soft tissue infection with bacteria such as S. aureus.

Özet

Helcococcus kunzii gram-pozitif ve katalaz negatif bir kok olup, özellikle alt ekstremite yaraları ve diyabetik hastaların selülitlerinde etken olabilmektedir. Bu olgu sunumunda H. kunzii’nin Staphylococcus aureus ile birlikte, diyabetik bir hastada neden olduğu, kemik fraktürü sonrası gelişmiş yara yeri infeksiyonu sunulmaktadır. Yara örneğinde beta-hemolitik stafilokok benzeri koloniler ile alfa-hemolitik streptokok benzeri koloni üremeleri gözlenmiştir. Alfa-hemolitik kolonilerin katalaz ve oksidaz testleri negatif bulunmuştur. VITEK 2 (bioMerieux, Fransa) otomatize sistemi ile yapılan identifikasyonda bakteriler S. aureus ve H. kunzii olarak tanımlanmıştır. H. kunzii izolatı ampisilin, seftriakson, sefepim, sefotaksim ve vankomisine duyarlı; eritromisin ve klindamisine dirençli olarak bulunmuştur. Hastanın tedavisinde amoksisilin-klavulanik asit kullanılmış ve iyileşme sağlanmıştır. Bu olgu H. kunzii’nin S. aureus gibi bakterilerle birlikte yumuşak doku infeksiyonu yapabileceği ile ilgili bilgileri desteklemektedir

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Cite This Article

ADLIM, M., DÖNMEZ, B., ÇALIŞKAN, E., ARICAN, M. (2019). Helcococcus kunzii Detected from the Wound Site After Bone Fracture: A Rare Agent. Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi, Cilt: 24 - Sayı: 3, 250–253. https://ajindex.com/articles/162523

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