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Post-operative Orthopedic Infection with Monomicrobial Leclercia adecarboxylata

A Case Report and Review of the Literature

Mayfield, Cory K. BS1; Haglin, Jack M. BS2; Konda, Sanjit R. MD3; Tejwani, Nirmal C. MD3; Egol, Kenneth A. MD3

doi: 10.2106/JBJS.CC.18.00297
Case Reports
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Disclosures

Case: 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.

Conclusions: 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.egol@nyumc.org

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).

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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