Abstract
An elderly gentleman presented with an open fracture of the calcaneum and ankle, following a boating accident. Despite treatment with repeated surgical debridement, delayed closure, prolonged antibiotics and strict adherence to national guidelines on the management of open fractures, he developed a wound infection with a rare organism, Shewanella putrefaciens, that appears to be increasing in prevalence.
MeSH terms
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Aged, 80 and over
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Ankle Injuries / complications*
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Ankle Injuries / diagnostic imaging
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Ankle Injuries / surgery
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Anti-Bacterial Agents / therapeutic use
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Calcaneus / injuries*
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Debridement / methods
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Follow-Up Studies
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Fracture Fixation, Internal
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Fractures, Open / complications*
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Fractures, Open / diagnostic imaging
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Fractures, Open / surgery
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Gram-Negative Bacterial Infections / etiology*
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Gram-Negative Bacterial Infections / microbiology
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Gram-Negative Bacterial Infections / therapy
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Humans
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Male
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Radiography
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Shewanella putrefaciens / isolation & purification*
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Wound Infection / etiology*
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Wound Infection / microbiology
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Wound Infection / therapy