title: Acinetobacter calcoaceticus foot infection secondary to high-pressure injection injury: a case report.
abstract: Injection injuries are surgical emergencies occurring most often in the hand and frequently associated with widespread tissue necrosis and infection. This report presents a case of high-pressure injection injury of the foot associated with extensor hallucis longus laceration and infection with Acinetobacter calcoaceticus variant anitratus. This injury occurred with a high-pressure "water-blaster" tool used to remove paint from pavement. Similar injuries in the foot have not been reported. A. calcoaceticus is a widely distributed normal flora of low virulence, often waterborne, which is rarely found in orthopaedic infections in young healthy patients. Clinical features of high-pressure injection injuries, principles of treatment, and the characteristics of A. calcoaceticus are reviewed.
mesh_terms: D000062:Accidents, Occupational; D000151:Acinetobacter Infections / Q000188:drug therapy / Q000209:etiology*; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002370:Casts, Surgical; D003646:Debridement; D004864:Equipment and Supplies; D005528:Foot / Q000000981:diagnostic imaging; D018409:Foot Injuries; D006801:Humans; D008297:Male; D011312:Pressure; D011859:Radiography; D007507:Therapeutic Irrigation; D014945:Wound Healing
chemical_list: D000900:Anti-Bacterial Agents