Wound infection due to Proteus penneri after dog bite

Year 2019, Volume: 10 Issue: 4, 541 - 544, 31.12.2019

Metin Özsoy Selin Şenol Salih Cesur , Şükran Sevim Sami Kınıklı Sultan Gül

https://doi.org/10.18663/tjcl.631315

Abstract

Proteus penneri (P.penneri) is a rare Gram negative bacilli that can cause invasive infectious diseases. P. penneri may cause clinical manifestations such as urinary tract infection, wound infection, sepsis.In this article, a 57-years-old female patient who developed wound infection and purulent discharge in the shoulder due to P. penneri after dog bite was presented and did not respond to amoxicillin-clavunate treatment. According to the antibiogram, piperacillin-tazobactam treatment was started intravenously (i.v.) at a dose of 3x4.5 g. The treatment was administered for 7 days. After treatment, the discharge in the lesion area completely resolved.

Keywords

Proteus penneri , animal bite , wound infection

Project Number

-

Köpek ısırığı sonrası Proteus penneri'ye bağlı yara infeksiyonu gelişen olgu

Abstract

Proteus penneri (P.penneri)
invaziv infeksiyon hastalalıklarına neden olabilen, nadir görülen bir Gram
negatif basildir. P.penneri  üriner sistem infeksiyonu, yara infeksiyonu,
sepsis gibi klinik tablolara neden olabilir. Bu yazıda , köpek ısırığı
sonrasında P.penneri'ye bağlı sağ
kolunda yara infeksiyonu ve pürülan akıntı gelişen, amoksisilin-klavunat
tedavisine yanıt vermeyen 57 yaşında bir kadın olgu sunuldu. Hastaya
antibiyogram sonucuna göre piperasilin-tazobaktam tedavisi 3x4.5 gr dozda
intravenöz (i.v.) yolla başlandı, tedavi 7 gün süreyle uygulandı. Tedavi
sonrası lezyon bölgesindeki akıntı ve yara yeri infeksiyonu tamamen düzeldi.

Keywords

Proteus penneri , hayvan ısırığı , yara infeksiyonu

Supporting Institution

Destekleyen kurum yok

Project Number

-

Thanks

-

References

• 1. Çokca F, Meço O. Hayvan ısırık infeksiyonları. Flora 1996; 2: 131-36
• 2. Abrahamian FM, Goldstein EJ. Microbiology of animal bite wound infections.Clin Microbiol Rev 2011; 24: 231-46.
• 3. Drzewiecka D. Significance and Roles of Proteus spp. Bacteria in Natural Environments. Microb Ecol 2016; 72: 741–58.
• 4. Kishore J. Isolation, identification & characterization of Proteus penneri - a missed rare pathogen. Indian J Med Res 2012; 135: 341–45.
• 5. Cantón R, Sánchez-Moreno MP, Morosini Reilly MI. Proteus penneri. Enferm Infecc Microbiol Clin 2006; 24: 8–13.
• 6. Castro ST, Rodríguez CR, Perazzi BE et al. Comparison of different methods in order to identify Proteus spp. Rev Argent Microbiol 2006; 38: 119–24.
• 7. Krajden S, Fuksa M, Petrea C, Crisp LJ, Penner JL. Expanded clinical spectrum of infections caused by Proteus penneri. J Clin Microbiol 1987; 25: 578–79.
• 8. Engler HD, Troy K, Bottone EJ. Bacteremia and subcutaneous abscess caused by Proteus penneri in a neutropenic host. J Clin Microbiol 1990; 28: 1645–46.
• 9. Latuszynski DK, Schoch P, Qadir MT, Cunha BA. Proteus penneri urosepsis in a patient with diabetes mellitus. Heart Lung 1998; 27: 146–8.
• 10. Pandey A, Verma H, Asthana AK, Madan M. Extended spectrum beta lactamase producing Proteus penneri: a rare missed pathogen? Indian J Pathol Microbiol 2014 ; 57: 489-91.
• 11. Stock I. Natural antibiotic susceptibility of Proteus spp. with special reference to P. mirabilis and P. penneri strains. J Chemother 2003; 15: 12-26.