Surgical treatment of fungating lesion of foot due to Moraxella phenylpyruvica. Case report.
We present a case report of a man who had an abscess-like lesion on his left foot. The lesion discharged pus, enlarged, and became thicker, so that we could not differentiate the real toes from the out-growths. Moraxella phenylpyruvica and Pseudomonas putrefaciens were identified; direct agglutination tests were postive M. phyenylpyruvica. He was given antibiotics and antituberculosis therapy and had topical treatments. The foul odor disappeared with treatment, and the lesions were removed surgically 3 months later. The M. phenylpyruvica finally disappeared after the surgery. The final condition of this patient was markedly improved, although he had some residual scar contracture.
D000328:Adult; D001424:Bacterial Infections / Q000150:complications / Q000473:pathology / Q000601:surgery; D002908:Chronic Disease; D005533:Foot Dermatoses / Q000150:complications / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D009016:Moraxella / Q000302:isolation & purification; D011711:Pyoderma / Q000150:complications / Q000473:pathology / Q000601:surgery*