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An Unexpected Infection in a Venous Leg Ulcer: a Case Report

dc.contributor.authorVeríssimo, M
dc.contributor.authorGuimarães, D
dc.contributor.authorCasal, D
dc.contributor.authorCarvalho, S
dc.contributor.authorMatias, M
dc.contributor.authorBarbosa, R
dc.contributor.authorBexiga, J
dc.date.accessioned2024-08-13T09:58:33Z
dc.date.available2024-08-13T09:58:33Z
dc.date.issued2023
dc.description.abstractProvidencia rettgeri is a Gram-negative bacillus that is most usually seen in urinary tract infections. Skin and soft tissue infections with P rettgeri are rare and there few case reports described in the literature. A 43-yearold woman presented to the emergency department with a leg ulcer of 3 months duration. Microbiological results isolated P rettgeri and Pseudomonas aeruginosa. She underwent surgical debridement and split-thickness skin grafting alongside IV antibiotic therapy and dressing care, with complete resolution of the wound 3 months after admission. The differential diagnosis of leg ulcers is wide and must include infection and venous insufficiency. Although venous ulcers are common, typically they are not responsible for rapid evolving ulcers that destroy tissues below the muscular fascia. In this case report, the authors hypothesise that P rettgeri had a major role in the severity of the ulcer in an otherwise healthy woman. A greater understanding of how P rettgeri affects wound pathophysiology is needed in order to distinguish between colonisation versus infection and discriminate bacterial synergy, as well as having better treatment guidelines.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationWounds Int. 2023 ;14 (4): 36-38pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/4984
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWounds Internationalpt_PT
dc.subjectProvidencia rettgeript_PT
dc.subjectVenous Leg Ulcerpt_PT
dc.subjectPseudomonas aeruginosapt_PT
dc.subjectFemalept_PT
dc.subjectSkin and soft tissue infectionspt_PT
dc.subjectHSJ CPRpt_PT
dc.titleAn Unexpected Infection in a Venous Leg Ulcer: a Case Reportpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage38pt_PT
oaire.citation.issue4pt_PT
oaire.citation.startPage36pt_PT
oaire.citation.volume14pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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