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Handchir Mikrochir Plast Chir 2016; 48(03): 175-178
DOI: 10.1055/s-0035-1549942
Fallbericht
© Georg Thieme Verlag KG Stuttgart · New York

Postoperative Osteomyelitis einer Endphalanx am Finger durch Raoultella ornithinolytica

Postoperative Osteomyelitis of a Distal Phalanx Caused by Raoultella ornithinolytica
N. Schmutz
1   Klinik für Hand- und Plastische Chirurgie, Kantonsspital Aarau, Aarau, Schweiz
,
T. Adler
2   Handchirurgie, Klinik für Orthopädie und Traumatologie des Bewegungsapparates, Kantonsspital Baselland, Bruderholz, Schweiz
,
N. Schelhorn
3   Handzentrum, Hirslanden Klinik Birshof, LEONARDO – Ärzte für Orthopädie und Traumatologie, Münchenstein, Schweiz
,
S. Wirz
4   Infektiologie und Spitalhygiene, Medizinischen Universitätsklinik, Kantonsspital Baselland, Bruderholz, Schweiz
,
R. Fricker
3   Handzentrum, Hirslanden Klinik Birshof, LEONARDO – Ärzte für Orthopädie und Traumatologie, Münchenstein, Schweiz
› Author Affiliations
Further Information

Publication History

eingereicht 04 January 2015

akzeptiert 03 April 2015

Publication Date:
19 May 2015 (online)

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Zusammenfassung

Wir berichten über die Osteomyelitis der Endphalanx am rechten Ringfinger einer 62-jährigen Patientin 11 Monate nach transossärer, transungualer Refixation der tiefen Beugesehne bei traumatischem, geschlossenen Abriss mit Raoultella ornithinolytica. R. ornithinolytica ist ein gramnegatives, aerobes Bakterium. In der Literatur sind bisher nur 13 Fälle von Infektionen mit R. ornithinolytica beim Menschen beschrieben. Unseres Wissens ist dies der erste Fall einer Osteomyelitis durch R. ornithinolytica.

Abstract

We report on a case of osteomyelitis of a distal phalanx of the right ring finger of a 62-year-old patient, which occurred 11 months after transosseous-transungual refixation of a closed flexor digitorum profundus tendon avulsion caused by Raoultella ornithinolytica. R. ornithinolytica is an encapsulated Gram-negative aerobic bacillus. In the literature only 13 cases of human infection by R. ornithinolytica are mentioned. To the best of our knowledge, this is the first case of an osteomyelitis caused by R. ornithinolytica.

Schlüsselwörter

Raoultella ornithinolytica - Proteus vulgaris - Osteomyelitis - Finger

Key words

raoultella ornithinolytica - proteus vulgaris - osteomyelitis - finger
 

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