title: Isolation of Leclercia adecarboxylata from a wound infection after exposure to hurricane-related floodwater.
abstract: A man in his early 80s presented to our emergency department with painless redness and swelling in his right leg. One week prior, he cleaned up floodwater in his basement after Hurricane Irene passed the Mid-Atlantic region of the USA in August 2011. Physical examination included large purple bullae and raised concern for necrotising fasciitis. Wound culture revealed a polymicrobial infection including Leclercia adecarboxylata.
authors.affiliation: Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
authors.forename: Vernissia
authors.initials: V
authors.lastname: Tam
authors.forename: Seema
authors.initials: S
authors.lastname: Nayak
mesh_terms: D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002443:Ceftriaxone / Q000627:therapeutic use; D002981:Clindamycin / Q000627:therapeutic use; D055867:Cyclonic Storms; D003937:Diagnosis, Differential; D004755:Enterobacteriaceae / Q000302:isolation & purification*; D004756:Enterobacteriaceae Infections / Q000175:diagnosis* / Q000635:transmission*; D019115:Fasciitis, Necrotizing / Q000175:diagnosis / Q000382:microbiology; D055868:Floods; D006801:Humans; D007866:Leg; D008297:Male; D008826:Microbial Sensitivity Tests; D035583:Rare Diseases; D014871:Water Microbiology; D014946:Wound Infection / Q000175:diagnosis* / Q000382:microbiology / Q000635:transmission*
chemical_list: D000900:Anti-Bacterial Agents; D002981:Clindamycin; D002443:Ceftriaxone