Severe Wound Infection with Photobacterium damselae ssp. damselae and Vibrio harveyi, following a Laceration Injury in Marine Environment: A Case Report and Review of the Literature
Marine microorganisms are uncommon etiologies of skin and skin structure infections, that is, wound infections. We report a case of severe wound infection, caused by the marine Photobacterium damselae (Vibrionaceae), in a 64-year-old male patient, returning from Australia. The isolate tested positiv...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2013/610632 |
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| author | Jörg Hundenborn Steffi Thurig Mechthild Kommerell Heike Haag Oliver Nolte |
| author_facet | Jörg Hundenborn Steffi Thurig Mechthild Kommerell Heike Haag Oliver Nolte |
| author_sort | Jörg Hundenborn |
| collection | DOAJ |
| description | Marine microorganisms are uncommon etiologies of skin and skin structure infections, that is, wound infections. We report a case of severe wound infection, caused by the marine Photobacterium damselae (Vibrionaceae), in a 64-year-old male patient, returning from Australia. The isolate tested positive for pPHDD1, a plasmid conferring high-level virulence. Furthermore, the wound was coinfected with Vibrio harveyi, a halophile bacterium, which has never been reported from human infections before. Identification was achieved by use of Matrix-Assisted Laser Desorption-Ionization Time of Flight Mass Spectrometry (MALDI-TOF) and confirmed by 16S rDNA sequencing. Data retrieval from bibliography was complicated since P. damselae has been renamed often with a number of synonyms present in the literature: Photobacterium damsela, Vibrio damselae, Vibrio damsela, Pasteurella damselae, and Listonella damsela. With all synonyms used as query terms, a literature search provided less than 20 cases published worldwide. A majority of those cases presenting as severe wound infection are even fatal following progression into necrotizing fasciitis. Management with daily wound dressing and antibiotic therapy (ofloxacin empirically, followed by doxycycline after availability of microbiology) led in the reported case to a favorable outcome, which seems to be, however, the exception based on a review of the available literature. |
| format | Article |
| id | doaj-art-e8b9416ae91f4d79b711e8a6149c9e25 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-e8b9416ae91f4d79b711e8a6149c9e252025-02-03T00:59:12ZengWileyCase Reports in Medicine1687-96271687-96352013-01-01201310.1155/2013/610632610632Severe Wound Infection with Photobacterium damselae ssp. damselae and Vibrio harveyi, following a Laceration Injury in Marine Environment: A Case Report and Review of the LiteratureJörg Hundenborn0Steffi Thurig1Mechthild Kommerell2Heike Haag3Oliver Nolte4Gemeinschaftspraxis für Orthopädie, Chirurgie, Unfallchirurgie Sportmedizin, Manuelle Medizin/Chiropraktik, Theodor Heuss Straße 1, 78467 Konstanz, GermanyLaboratory of Dr. Brunner, Mainaustraße 48 a/b, 78464 Konstanz, GermanyLaboratory of Dr. Brunner, Mainaustraße 48 a/b, 78464 Konstanz, GermanyLaboratory of Dr. Brunner, Mainaustraße 48 a/b, 78464 Konstanz, GermanyLaboratory of Dr. Brunner, Mainaustraße 48 a/b, 78464 Konstanz, GermanyMarine microorganisms are uncommon etiologies of skin and skin structure infections, that is, wound infections. We report a case of severe wound infection, caused by the marine Photobacterium damselae (Vibrionaceae), in a 64-year-old male patient, returning from Australia. The isolate tested positive for pPHDD1, a plasmid conferring high-level virulence. Furthermore, the wound was coinfected with Vibrio harveyi, a halophile bacterium, which has never been reported from human infections before. Identification was achieved by use of Matrix-Assisted Laser Desorption-Ionization Time of Flight Mass Spectrometry (MALDI-TOF) and confirmed by 16S rDNA sequencing. Data retrieval from bibliography was complicated since P. damselae has been renamed often with a number of synonyms present in the literature: Photobacterium damsela, Vibrio damselae, Vibrio damsela, Pasteurella damselae, and Listonella damsela. With all synonyms used as query terms, a literature search provided less than 20 cases published worldwide. A majority of those cases presenting as severe wound infection are even fatal following progression into necrotizing fasciitis. Management with daily wound dressing and antibiotic therapy (ofloxacin empirically, followed by doxycycline after availability of microbiology) led in the reported case to a favorable outcome, which seems to be, however, the exception based on a review of the available literature.http://dx.doi.org/10.1155/2013/610632 |
| spellingShingle | Jörg Hundenborn Steffi Thurig Mechthild Kommerell Heike Haag Oliver Nolte Severe Wound Infection with Photobacterium damselae ssp. damselae and Vibrio harveyi, following a Laceration Injury in Marine Environment: A Case Report and Review of the Literature Case Reports in Medicine |
| title | Severe Wound Infection with Photobacterium damselae ssp. damselae and Vibrio harveyi, following a Laceration Injury in Marine Environment: A Case Report and Review of the Literature |
| title_full | Severe Wound Infection with Photobacterium damselae ssp. damselae and Vibrio harveyi, following a Laceration Injury in Marine Environment: A Case Report and Review of the Literature |
| title_fullStr | Severe Wound Infection with Photobacterium damselae ssp. damselae and Vibrio harveyi, following a Laceration Injury in Marine Environment: A Case Report and Review of the Literature |
| title_full_unstemmed | Severe Wound Infection with Photobacterium damselae ssp. damselae and Vibrio harveyi, following a Laceration Injury in Marine Environment: A Case Report and Review of the Literature |
| title_short | Severe Wound Infection with Photobacterium damselae ssp. damselae and Vibrio harveyi, following a Laceration Injury in Marine Environment: A Case Report and Review of the Literature |
| title_sort | severe wound infection with photobacterium damselae ssp damselae and vibrio harveyi following a laceration injury in marine environment a case report and review of the literature |
| url | http://dx.doi.org/10.1155/2013/610632 |
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