Foot & Ankle Surgery: Techniques, Reports & Cases (Jan 2021)

Osteomyelitis and septic arthritis from rare pathogen leclercia adecarboxylata: A case study

  • Matthew A. King, DPM,
  • Clark K. Brackney, DPM,
  • Bryanna D. Vesely, DPM, MPH,
  • Robert D. Teasdall, MD,
  • Aaron T. Scott, MD,
  • Vera P. Luther, MD

Journal volume & issue
Vol. 1, no. 2
p. 100024

Abstract

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Leclercia adecarboxylata is an infrequently reported pathogen, typically encountered in immunocompromised patients. Previous literature has demonstrated the predilection of this pathogen for immunocompromised patients. In the rare cases of infection in immunocompetent patients, water exposure typically preceded the soft tissue infection. No case report has been published with L. adecarboxylata causing osteomyelitis of the lower extremity. In this case report, we describe an immunocompetent patient who developed L. adecarboxylata osteomyelitis in the lower extremity after stepping on a wooden pallet.

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