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Case Reports
. 2021 Jul 1;16(9):2366-2369.
doi: 10.1016/j.radcr.2021.06.016. eCollection 2021 Sep.

Detection of Enterococcus hirae in a case of acute osteomyelitis

Rahul Bollam  1 , Mohamed Yassin  1 , Tung Phan  2
Affiliations
Case Reports

Detection of Enterococcus hirae in a case of acute osteomyelitis

Rahul Bollam et al. Radiol Case Rep. .

Erratum in

Abstract

Enterococci are important microorganisms of the gut microbiome in many mammals and cause millions of infections annually. An increasing resistance to antibiotics has led to their emergence as superinfecting nosocomial pathogens in humans. Enterococcus hirae is rarely identified in humans. In this study, we present a case of the polymicrobial osteomyelitis involving Enterococcus hirae in a 33-year-old male patient with traumatic tibia-fibula fracture after a motor vehicle accident. He underwent a right below-the-knee amputation and antibiotics with excellent improvement. Our case study helps to confirm the unexpected presence of Enterococcus hirae in a human specimen. Further studies are needed to elucidate the clinical implications of Enterococcus hirae.

Keywords: Enterococcus hirae; VITEK 2; osteomyelitis; trauma, fracture.

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Figures

Fig 1
Fig. 1
The radiograph of the right tibia-fibula fracture before (left) and after (right) the open reduction internal fixation (ORIF) and external fixation device application.
Fig 2
Fig. 2
Small, gray, non-hemolytic colonies of Enterococcus hirae were observed on sheep blood agar, and microscopic examination of a Gram-stained smear revealed small Gram-positive cocci at 1000 x magnification.
See this image and copyright information in PMC

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