Advertisement

Infection

, Volume 28, Issue 1, pp 53–54 | Cite as

Persistent Wound Infection after Herniotomy Associated with Small-Colony Variants of Staphylococcus aureus

  • M. Abele-Horn
  • B. Schupfner
  • P. Emmerling
  • H. Waldner
  • H. Göring
CASE REPORT

Summary

A small-colony variant (SCV) of Staphylococcus aureus was cultured from a patient with a persistent wound infection (abscess and fistula) 13 months after herniotomy. The strain was nonhemolytic, nonpigmented and grew only anaerobically on Schaedler agar. As it was coagulase-negative, it was initially misidentified as a coagulase-negative Staphylococcus. In further analysis, however, the microorganism was shown to be an auxotroph that reverted to normal growth and morphology in the presence of menadione and hemin (Schaedler agar) and could be identified as a SCV of Staphylococcus aureus. Surgery and antibiotic treatment of the patient with flucloxacillin and rifampicin for 4 weeks resulted in healing of the chronic wound infection.

Key words Small-colony variant (SCV) Staphylococcus aureus Persistent wound infection Antibiotic treatment 

Copyright information

© Urban & Vogel Medien und Medizin Verlagsgesellschaft 2000

Authors and Affiliations

  • M. Abele-Horn
    • 1
  • B. Schupfner
    • 2
  • P. Emmerling
    • 3
  • H. Waldner
    • 2
  • H. Göring
    • 2
  1. 1.Institute for Microbiology, Julius-Maximilians-University, Josef-Schneider-Str. 2, D-97080 Würzburg, Germany; Phone: +49-931-2013941, Fax: +49-931-2013445, e-mail: mhorn@hygiene.uni-wuerzburg.deDE
  2. 2.Dept. of Visceral Surgery, City Hospital Munich-Schwabing, Kölner Platz 1, D-80804 Munich, GermanyDE
  3. 3.Institute for Medical Microbiology, City Hospital Munich-Schwabing, Kölner Platz 1, D-80804 Munich, GermanyDE

Personalised recommendations