Title

Hafnia alvei: A new pathogen in open fractures

Document Type

Journal Article

Publication Date

4-1-2017

Journal

Trauma Case Reports

Volume

8

DOI

10.1016/j.tcr.2017.01.019

Keywords

Forearm fracture; Hafnia alvei; Open fracture; Osteomyelitis

Abstract

© 2017 Background Deep infection following open both bone forearm fractures is a rare complication. Prophylactic antibiotic regimens are targeted at the most common pathogens, which include primarily Staph aureus followed by gram-negative bacteria. Hafnia alvei is an unusual pathogen that is rarely pathogenic in humans and has never been reported as a cause of infection following open fracture. Methods We present a 12-year-old male with an open forearm fracture who developed a late deep infection. Cultures grew only Hafnia alvei. The patient was treated with debridement, placement of antibiotic beads, and ciprofloxacin. Results At 6 months following the initial debridement, the patient had no clinical evidence of infection and regained full function of the affected forearm without any residual deficits. Conclusions This is the first report of deep infection following an open forearm fracture owing to Hafnia alvei, a pathogen rarely responsible for human infection.

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