Article
Version 1
Preserved in Portico This version is not peer-reviewed
Diabetic Foot Ulcer with Alcaligenes Faecalis Infection
Version 1
: Received: 3 March 2020 / Approved: 4 March 2020 / Online: 4 March 2020 (10:34:23 CET)
How to cite: Huang, C. Diabetic Foot Ulcer with Alcaligenes Faecalis Infection. Preprints 2020, 2020030060. https://doi.org/10.20944/preprints202003.0060.v1 Huang, C. Diabetic Foot Ulcer with Alcaligenes Faecalis Infection. Preprints 2020, 2020030060. https://doi.org/10.20944/preprints202003.0060.v1
Abstract
Background: Diabetic foot ulcers are an increasingly common complex problem and are associated with a very considerable health care burden. Diabetic foot ulcer with Alcaligenes faecalis infection is rarely reported in the literature. We report a case series of diabetic foot ulcer with Alcaligenes faecalis infection treated at our facility. Methods: We conducted a retrospective analysis of all patients with diabetic foot ulcer with Alcaligenes faecalis infection seen from January 2014 to April 2019. We analyzed the clinical characteristics, ulcer lesion classification, comorbidities, prior intravenous antibiotic use within three months, wound culture, antibiotics sensitivity test, and clinical outcomes of these patients. Results: Eight cases of diabetic foot ulcer with Alcaligenes faecalis infection were seen in five males and three females. The mean age was 54.6 years. All patients had other comorbidities, and all ulcer lesions were of chronic duration ( more than 14 days ). All wound cultures revealed polymicrobial infection, with two cases of diabetic foot with extensive-drug resistant Alcaligenes faecalis infection found in 2019. All patients needed intravenous antibiotic therapy and surgical interventions for the chronic ulcer lesion. The wound failed to heal in three patients. Conclusions: All diabetic foot ulcers with Alcaligenes faecalis infection were of chronic duration ( more than 14 days ) and had polymicrobial infection. Extensive-drug resistant Alcaligenes faecalis emerged in 2019. Definitive antibiotic therapy is necessary for all infected wounds and should be based on both the culture results and susceptibility data. All patients will need appropriate wound care, and most will need rapid surgical intervention for an optimal outcome.
Keywords
Alcaligenes faecalis; Diabetic foot ulcer; extensive-drug resistant
Subject
Medicine and Pharmacology, Dietetics and Nutrition
Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Comments (0)
We encourage comments and feedback from a broad range of readers. See criteria for comments and our Diversity statement.
Leave a public commentSend a private comment to the author(s)
* All users must log in before leaving a comment