title: Bacillus cereus fasciitis: a unique pathogen and clinically challenging sequela of inoculation.
abstract: Bacillus cereus is an aerobic, spore-forming, gram-positive rod. It has historically been associated with "fried rice syndrome," a foodborne diarrheal and emetic illness resulting from eating fried rice dishes that have been sitting at room temperature for hours. We report the case of a 9-year-old boy who developed culture-positive B cereus fasciitis of the right lower extremity after being impaled on a tree branch. This case report further elucidates and emphasizes the importance of recognizing B cereus as a possible cause of severe soft-tissue infection. It must be included in the differential diagnosis of gas gangrene and necrotizing fasciitis.
authors: Division of Orthopaedic Surgery, Albany Medical Center, Albany, NY 12206, USA. andrewjrosenbaum@gmail.com
authors: Andrew
authors: A
authors: Rosenbaum
authors: Dean
authors: D
authors: Papaliodis
authors: Maxwell
authors: M
authors: Alley
authors: Jordan
authors: J
authors: Lisella
authors: Michael
authors: M
authors: Flaherty
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D001409:Bacillus cereus / Q000302:isolation & purification*; D002648:Child; D002981:Clindamycin / Q000008:administration & dosage; D003646:Debridement; D005208:Fasciitis / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D000071938:Fasciotomy; D016908:Gram-Positive Bacterial Infections; D006801:Humans; D035002:Lower Extremity / Q000382:microbiology* / Q000601:surgery; D008297:Male; D000077731:Meropenem; D012086:Reoperation; D018461:Soft Tissue Infections / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D007507:Therapeutic Irrigation; D013845:Thienamycins / Q000008:administration & dosage; D014640:Vancomycin / Q000008:administration & dosage; D014950:Wounds, Penetrating / Q000150:complications
chemical_list: D000900:Anti-Bacterial Agents; D013845:Thienamycins; D002981:Clindamycin; D014640:Vancomycin; D000077731:Meropenem