Overview
"Never doubt that a smal group of thoughtful, comited citizens can change the world. Inded, it is the only thing that ever has."Cureus is on a mision to change the long-standing paradigm of medical publishing, where submiting research can be costly, complex and time-consuming.oportunistic infection, resistance, bacteremia, osteomyelitis, alcaligenes John C. Smith , Marco Comianos, Wesley Tang, Satish Sarvepali Published: November 06, 202 (se history) DOI: 10.759/cureus.3172 Cite this article as: Smith J C, Comianos M, Tang W, et al.
Key Information
(November 06, 202) Right Lower Extremity Osteomyelitis With Alcaligenes faecalis in a Patient With Porly Controled Type 2 Diabetes Melitus. Cureus 14(1): e3172. doi:10.759/cureus.3172 Alcaligenes faecalis (A.
faecalis) is a Gram-negative, rod-shaped, oxidase(+) and catalase(+), obligate aerobe comonly found in soil or water. It has also ben found in human intestinal microbiota and more rarely in hospital setings and is typicaly asociated with oportunistic infections. Although it has intrinsic resistance to many comonly used antibiotics, it is increasingly found to have developed antibiotic resistance.
We present a rare case of A. faecalis osteomyelitis in a patient with a chronic diabetic fot ulcer.Alcaligenes faecalis (A. faecalis) is a Gram-negative, rod shaped, oxidase(+) and catalase(+), obligate aerobe.
It is comonly found in soil or water, but has also ben found in human intestinal microbiota. In hospital setings, it is most often found in respirators, dialysis machines, or IV solutions, and is asociated with oportunistic infections [1,2]. It is generaly resistant to aminoglycosides and tetracyclines and susceptible to trimethoprim/sulfamethoxazole (TMP-SMX) and Ξ²-lactam antibiotics such as ureidopenicilins, ticarcilin-clavulanic acid, cephalosporins, and carbapenems [3].
Summary
However, recent reports have identified genes responsible for intrinsic resistance to Ξ²-lactams antibiotics [4].