An 65-year-old immunocompetent female developed a Leclercia adecarboxylata infection following the repair of closed olecranon fracture. L. adecarboxylata is associated with polymicrobial infections, infections in immunocompromised patients and penetrating or open wounds. Following speciation, intravenous ceftriaxone was started. Two weeks later, the patient presented with leukopenia and neutropenia. Per infectious disease recommendations, the patient was switched to intravenous ertapenem with resolution of both infection and neutropenia. The olecranon fracture went on to heal fully.
This case describes a rare postoperative monomicrobial infection with L. adecarboxylata in an immunocompetent host following musculoskeletal trauma and identifies L. adecarboxylata as a potential emerging hospital-acquired pathogen following orthopedic surgery.
1Keck School of Medicine of USC, Los Angeles, California
2Mayo Clinic School of Medicine, Scottsdale, Arizona
3Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York City, New York
E-mail address for K.A. Egol: Kenneth.email@example.com
Investigation performed at NYU Langone Orthopedic Hospital, Department of Orthopaedic Surgery, New York, New York
Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/A828).