Gram-Negative Bacterial Infection in Thigh Abscess Can Migrate to Distant Burn Depending on Burn Depth

Sepsis remains the major cause of death in patients with major burn injuries. In the present investigation we evaluated the interaction between burn injuries of varying severity and preexisting distant infection. We used Gram-negative bacteria (Pseudomonas aeruginosa and Proteus mirabilis) that were...

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Main Authors: Victoria Hamrahi, Michael R. Hamblin, Walter Jung, John B. Benjamin, Kasie W. Paul, Alan J. Fischman, Ronald G. Tompkins, Edward A. Carter
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Interdisciplinary Perspectives on Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2012/567140
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author Victoria Hamrahi
Michael R. Hamblin
Walter Jung
John B. Benjamin
Kasie W. Paul
Alan J. Fischman
Ronald G. Tompkins
Edward A. Carter
author_facet Victoria Hamrahi
Michael R. Hamblin
Walter Jung
John B. Benjamin
Kasie W. Paul
Alan J. Fischman
Ronald G. Tompkins
Edward A. Carter
author_sort Victoria Hamrahi
collection DOAJ
description Sepsis remains the major cause of death in patients with major burn injuries. In the present investigation we evaluated the interaction between burn injuries of varying severity and preexisting distant infection. We used Gram-negative bacteria (Pseudomonas aeruginosa and Proteus mirabilis) that were genetically engineered to be bioluminescent, which allowed for noninvasive, sequential optical imaging of the extent and severity of the infection. The bioluminescent bacteria migrated from subcutaneous abscesses in the leg to distant burn wounds on the back depending on the severity of the burn injury, and this migration led to increased mortality of the mice. Treatment with ciprofloxacin, injected either in the leg with the bacterial infection or into the burn eschar, prevented this colonization of the wound and decreased mortality. The present data suggest that burn wounds can readily become colonized by infections distant from the wound itself.
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series Interdisciplinary Perspectives on Infectious Diseases
spelling doaj-art-96caa12a2a564d84ba4808c613466b962025-02-03T01:22:36ZengWileyInterdisciplinary Perspectives on Infectious Diseases1687-708X1687-70982012-01-01201210.1155/2012/567140567140Gram-Negative Bacterial Infection in Thigh Abscess Can Migrate to Distant Burn Depending on Burn DepthVictoria Hamrahi0Michael R. Hamblin1Walter Jung2John B. Benjamin3Kasie W. Paul4Alan J. Fischman5Ronald G. Tompkins6Edward A. Carter7Department of Bacteriology, Shriners Hospitals for Children, Boston, MA 02114, USAWellman Center for Photomedicine, Massachusetts General Hospital, Boston, MA 02114, USADepartment of Bacteriology, Shriners Hospitals for Children, Boston, MA 02114, USADepartment of Bacteriology, Shriners Hospitals for Children, Boston, MA 02114, USADepartment of Bacteriology, Shriners Hospitals for Children, Boston, MA 02114, USADepartment of Bacteriology, Shriners Hospitals for Children, Boston, MA 02114, USADepartment of Bacteriology, Shriners Hospitals for Children, Boston, MA 02114, USADepartment of Bacteriology, Shriners Hospitals for Children, Boston, MA 02114, USASepsis remains the major cause of death in patients with major burn injuries. In the present investigation we evaluated the interaction between burn injuries of varying severity and preexisting distant infection. We used Gram-negative bacteria (Pseudomonas aeruginosa and Proteus mirabilis) that were genetically engineered to be bioluminescent, which allowed for noninvasive, sequential optical imaging of the extent and severity of the infection. The bioluminescent bacteria migrated from subcutaneous abscesses in the leg to distant burn wounds on the back depending on the severity of the burn injury, and this migration led to increased mortality of the mice. Treatment with ciprofloxacin, injected either in the leg with the bacterial infection or into the burn eschar, prevented this colonization of the wound and decreased mortality. The present data suggest that burn wounds can readily become colonized by infections distant from the wound itself.http://dx.doi.org/10.1155/2012/567140
spellingShingle Victoria Hamrahi
Michael R. Hamblin
Walter Jung
John B. Benjamin
Kasie W. Paul
Alan J. Fischman
Ronald G. Tompkins
Edward A. Carter
Gram-Negative Bacterial Infection in Thigh Abscess Can Migrate to Distant Burn Depending on Burn Depth
Interdisciplinary Perspectives on Infectious Diseases
title Gram-Negative Bacterial Infection in Thigh Abscess Can Migrate to Distant Burn Depending on Burn Depth
title_full Gram-Negative Bacterial Infection in Thigh Abscess Can Migrate to Distant Burn Depending on Burn Depth
title_fullStr Gram-Negative Bacterial Infection in Thigh Abscess Can Migrate to Distant Burn Depending on Burn Depth
title_full_unstemmed Gram-Negative Bacterial Infection in Thigh Abscess Can Migrate to Distant Burn Depending on Burn Depth
title_short Gram-Negative Bacterial Infection in Thigh Abscess Can Migrate to Distant Burn Depending on Burn Depth
title_sort gram negative bacterial infection in thigh abscess can migrate to distant burn depending on burn depth
url http://dx.doi.org/10.1155/2012/567140
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AT johnbbenjamin gramnegativebacterialinfectioninthighabscesscanmigratetodistantburndependingonburndepth
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