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Gordonia terrae causing metatarsal osteomyelitis in an immunocompetent patient: a case report

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European Orthopaedics and Traumatology

Abstract

A 43-year-old male developed pain and swelling in the region of the fourth metatarsal. MRI and biopsy confirmed osteomyelitis, and surrounding soft tissue infection did not reveal an organism. This proved resistant to empirical antibiotic therapy, and he underwent incision and drainage but the infection recurred. Subsequent samples provided bacterial nuclear material which was analyzed by 16S rDNA bacterial sequencing. This revealed the organism to be Gordonia terrae, previously reported in seriously immunocompromised patients only. A discussion of treatment and a literature review are included.

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Authors and Affiliations

  1. Royal National Orthpaedic Hospital, Stanmore, UK

    Syed Zuhair Nawaz, Jonathan Miles & John A. Skinner

Authors
  1. Syed Zuhair Nawaz
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  2. Jonathan Miles
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  3. John A. Skinner
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Correspondence to Syed Zuhair Nawaz.

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Nawaz, S.Z., Miles, J. & Skinner, J.A. Gordonia terrae causing metatarsal osteomyelitis in an immunocompetent patient: a case report. Eur Orthop Traumatol 1, 139–141 (2010). https://doi.org/10.1007/s12570-010-0022-x

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  • DOI: https://doi.org/10.1007/s12570-010-0022-x

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