• Internal medicine · Aug 2022

    Case Reports

    Case report of Community-acquired Pseudomonas aeruginosa Osteomyelitis Caused by an Injury from a Dishwasher.

    • Yoshiyuki Matsuki, Sayaka Tanabe, Takayuki Yokozawa, Sayori Li, and Toshimi Oda.
    • Department of Infectious Diseases, Showa General Hospital, Japan.
    • Intern. Med. 2022 Aug 1; 61 (15): 2373-2376.

    AbstractA 70-year-old healthy woman came to our hospital with right index finger pain and swelling after an injury incurred due to a commercial dishwasher. X-ray of the hand showed osteolysis around the distal interphalangeal joint. A further examination revealed Pseudomonas aeruginosa in the unexposed pus, so the patient was treated with a total of 10 weeks of cefepime, followed by levofloxacin and debridement twice. While this may have been a case of bacterial replacement, we should still consider P. aeruginosa infection in healthy adults when faced with an episode of waterborne injury.

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