title: Persistent wound infection after herniotomy associated with small-colony variants of Staphylococcus aureus.
abstract: A small-colony variant (SCV) of Staphylococcus aureus was cultured from a patient with a persistent wound infection (abscess and fistula) 13 months after herniotomy. The strain was nonhemolytic, nonpigmented and grew only anaerobically on Schaedler agar. As it was coagulase-negative, it was initially misidentified as a coagulase-negative Staphylococcus. In further analysis, however, the microorganism was shown to be an auxotroph that reverted to normal growth and morphology in the presence of menadione and hemin (Schaedler agar) and could be identified as a SCV of Staphylococcus aureus. Surgery and antibiotic treatment of the patient with flucloxacillin and rifampicin for 4 weeks resulted in healing of the chronic wound infection.
authors.affiliation: Institute for Microbiology, Julius-Maximilians-University, Würzburg, Germany. mhorn@hygiene.uni-wuerzburg.de
authors.forename: M
authors.initials: M
authors.lastname: Abele-Horn
authors.forename: B
authors.initials: B
authors.lastname: Schupfner
authors.forename: P
authors.initials: P
authors.lastname: Emmerling
authors.forename: H
authors.initials: H
authors.lastname: Waldner
authors.forename: H
authors.initials: H
authors.lastname: Göring
mesh_terms: D018784:Abdominal Abscess / Q000188:drug therapy / Q000382:microbiology; D000904:Antibiotics, Antitubercular / Q000627:therapeutic use; D005402:Fistula / Q000188:drug therapy / Q000382:microbiology; D005436:Floxacillin / Q000627:therapeutic use; D059685:Herniorrhaphy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010406:Penicillins / Q000627:therapeutic use; D012293:Rifampin / Q000627:therapeutic use; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000382:microbiology*; D013211:Staphylococcus aureus / Q000302:isolation & purification; D013530:Surgical Wound Infection / Q000188:drug therapy / Q000382:microbiology*
chemical_list: D000904:Antibiotics, Antitubercular; D010406:Penicillins; D005436:Floxacillin; D012293:Rifampin