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Case Studies | Orthopaedic Surgery | India | Volume 13 Issue 2, February 2024 | Rating: 4.8 / 10
Vibrio Metschnikovil: A Rare Microorganism Causing Wound Infection Resulting to Delayed Union in Both Bone Forearm Fracture
Dr. Penumur Kavya Sree | Dr. N. Vishnu Vardhan | Dr. Md. Zakir Hussain Arshad [3]
Abstract: Vibrio Metschnikovii was isolated from a 51 yrs old female patient who presented with complaints of pain and deformity in left forearm. patient had history of road traffic accident with fall in sewage water. then patient sustained Grade IIIB compound injury on left forearm. swab taken from wound site grew Vibrio metschnikovii. the isolates appeared as catalase - positive and oxidase - negative, gram - negative, slightly curved rods. growth on MacConkey agar was poor with positive lactose utilization. V. metschnikovii can be found in various aquatic habitats, including streams, lakes, marine waters, and sewage. The present report describes the case of a wound infection by V. Metschikovii in a female patient leading to delayed union of fracture. Case Report: A 51 yrs old female patient had history of road traffic accident with fall in sewage water, sustained grade IIIB compound injury on left forearm with fracture of both radius and ulna. patient underwent wound debridement, rush nail for left ulna and external fixator for left radius. then after 1 month external fixator gets infected then for 6 weeks antibiotic coverage to control the infection. Then External fixator was removed. and kept in above elbow slab for 2weeks once infection-controlled patient underwent definitive treatment with open reduction and internal fixation with locking compression plate for left radius this could be attributable to Vibrio metschnikovii. Conclusion: patient achieved delayed fracture union after 6 weeks of antibiotic treatment, regular wound debridement and conversion of external fixator to definitive treatment.
Keywords: Delayed Union, Vibrio. Metschnikovii, External Fixator, Wound Debridements
Edition: Volume 13 Issue 2, February 2024,
Pages: 1658 - 1660