Open AccessMyroides Odoratum Osteomyelitis In A Diabetic Patient: Case Report And Review On A Rare Pathogen
Author(s) -
William Z Webster
Publication year - 2020
Publication title -
hsoa journal of clinical studies and medical case reports
Language(s) - English
Resource type - Journals
ISSN - 2378-8801
DOI - 10.24966/csmc-8801/100105
Subject(s) - osteomyelitis , cellulitis , pathogen , medicine , presentation (obstetrics) , drug resistance , biology , microbiology and biotechnology , dermatology , immunology , surgery
Given the multi-drug resistance pattern and general unfamiliarity of the gram-negative bacillus known as Myroides species, this report focuses on a rare presentation with emphasis on drug resistance and pathogenesis. With only 48 reported cases of Myroides infection as of 2017, this case presents the first known report of osteomyelitis from Myroides species. The most common reported infections include urinary tract infection, cellulitis, and blood stream infection, all occurring in immunocompromised hosts except for one case of cellulitis following a pig bite in a pediatric patient. Reported cases are to be discussed with respect to incidence, presentation, and proposed mechanisms of resistance such as chromosome-encoded metallo-beta-lactamases, with similarities and differences highlighted between prior reports and this case of osteomyelitis.