mupirocin and Foreign-Bodies

Leclercia adecarboxylata is a rarely described motile, aerobic, gram-negative bacillus reported to cause clinically significant solitary infections in immunocompromised patients and polymicrobial wound infections in immunocompetent patients [1-5]. We present a case of a polymicrobial infection including L. adecarboxylata in a healthy female patient with a subungual splinter, to increase awareness and aid in the diagnosis and treatment of cutaneous L. adecarboxylata infections. To our knowledge, this is the first reported case of trauma-related subungual L. adecarboxylata infection reported in the dermatology literature.

Topics: Adult; Anti-Bacterial Agents; Bambusa; Cephalexin; Coinfection; Doxycycline; Enterobacteriaceae; Enterobacteriaceae Infections; Female; Finger Injuries; Foreign Bodies; Humans; Immunocompetence; Mupirocin; Nails; Staphylococcal Infections; Wound Infection