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dc.contributor.authorSnels, Nicholas
dc.date.accessioned2021-11-03T04:39:43Z
dc.date.available2021-11-03T04:39:43Z
dc.date.issued2021
dc.identifier.issn1445-6354
dc.identifier.doi10.22605/RRH6710
dc.identifier.urihttp://hdl.handle.net/10072/409714
dc.description.abstractCONTEXT: The Gram-negative organism Aeromonas is found in freshwater and marine environments and can cause a range of disease in humans, most commonly gastrointestinal illness and soft tissue infections. The severity of soft tissue infections can vary, ranging from cellulitis to rapidly spreading soft tissue infection. Prompt recognition of this pathogen is needed as empirical antibiotics for cellulitis generally do not provide sufficient cover for Aeromonas. Additionally, while cellulitis is generally managed medically, early surgical intervention may be required when Aeromonas is the causative pathogen. ISSUES: A Caucasian male aged 39 years injured his right foot falling in a creek bed in the Darling Downs region of rural Queensland, sustaining a laceration in the webbing between his first and second toes. He was seen in two rural hospitals following this event, with oral antibiotics prescribed following his second presentation to cover for a localised soft tissue infection. Circumstances meant he did not take these, and he finally presented to a third hospital after noting erythema tracking up his leg and discharge emanating from the wound on his foot. He was admitted and commenced on empirical antibiotics, however severity of the infection necessitated surgical team involvement and multiple debridements. Due to the extent of tissue removal, a skin graft was required. Intraoperative specimens revealed polymicrobial Aeromonas as the causative pathogen. LESSONS LEARNED: This case report documents a polymicrobial soft tissue infection in a systemically well young male requiring prompt surgical intervention, even without systemic symptoms of illness. Lack of early recognition of risk factors for infection may have delayed appropriate antibiotic therapy. It highlights the importance of early recognition and appropriate antibiotic cover to prevent spreading infection in individuals in whom Aeromonas may be the suspected pathogen. Empirical antibiotics for cellulitis generally do not include the agents to which Aeromonas is susceptible, hence guidelines recommend a regime of trimethoprim-sulfamethoxazole or ciprofloxacin in addition to either dicloxacillin or flucloxacillin. Initiation of appropriate antibiotics earlier in this case may have prevented the need for surgical intervention. This case also demonstrates that early surgical referral and intervention may be warranted in suspected Aeromonas infections.
dc.description.peerreviewedYes
dc.languageeng
dc.publisherAustralian Rural Health Education Network
dc.relation.ispartofpagefrom6710
dc.relation.ispartofissue4
dc.relation.ispartofjournalRural and Remote Health
dc.relation.ispartofvolume21
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchSpecialist studies in education
dc.subject.fieldofresearchcode4205
dc.subject.fieldofresearchcode4206
dc.subject.fieldofresearchcode3904
dc.subject.keywordsAustralia
dc.subject.keywordscellulitis
dc.subject.keywordssoft tissue infections
dc.subject.keywordsAeromonas
dc.titleNot just simple cellulitis: a case report of polymicrobial Aeromonas infection from rural Queensland
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationSnels, N, Not just simple cellulitis: a case report of polymicrobial Aeromonas infection from rural Queensland, Rural and Remote Health, 2021, 21 (4), pp. 6710
dc.date.updated2021-11-03T00:09:43Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© The Author(s) 2021. The attached file is reproduced here in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
gro.hasfulltextFull Text
gro.griffith.authorSnels, Nicholas J.


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