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BMJ Case Rep ; 20132013 Feb 15.
Article in English | MEDLINE | ID: mdl-23417948

ABSTRACT

An elderly gentleman presented with an open fracture of the calcaneum and ankle, following a boating accident. Despite treatment with repeated surgical debridement, delayed closure, prolonged antibiotics and strict adherence to national guidelines on the management of open fractures, he developed a wound infection with a rare organism, Shewanella putrefaciens, that appears to be increasing in prevalence.


Subject(s)
Ankle Injuries/complications , Calcaneus/injuries , Fractures, Open/complications , Gram-Negative Bacterial Infections/etiology , Shewanella putrefaciens/isolation & purification , Wound Infection/etiology , Aged, 80 and over , Ankle Injuries/diagnostic imaging , Ankle Injuries/surgery , Anti-Bacterial Agents/therapeutic use , Debridement/methods , Follow-Up Studies , Fracture Fixation, Internal , Fractures, Open/diagnostic imaging , Fractures, Open/surgery , Gram-Negative Bacterial Infections/microbiology , Gram-Negative Bacterial Infections/therapy , Humans , Male , Radiography , Wound Infection/microbiology , Wound Infection/therapy
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