title: Isolation of Leclercia adecarboxylata from a patient with a subungual splinter.
abstract: Leclercia adecarboxylata is a rarely described motile, aerobic, gram-negative bacillus reported to cause clinically significant solitary infections in immunocompromised patients and polymicrobial wound infections in immunocompetent patients [1-5]. We present a case of a polymicrobial infection including L. adecarboxylata in a healthy female patient with a subungual splinter, to increase awareness and aid in the diagnosis and treatment of cutaneous L. adecarboxylata infections. To our knowledge, this is the first reported case of trauma-related subungual L. adecarboxylata infection reported in the dermatology literature.
authors.forename: Rina
authors.initials: R
authors.lastname: Allawh
authors.affiliation: George Washington University School of Medicine. bcamp@mfa.gwu.edu.
authors.forename: Brendan J
authors.initials: BJ
authors.lastname: Camp
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D031723:Bambusa / Q000382:microbiology; D002506:Cephalexin / Q000627:therapeutic use; D060085:Coinfection / Q000188:drug therapy / Q000382:microbiology; D004318:Doxycycline / Q000627:therapeutic use; D004755:Enterobacteriaceae / Q000302:isolation & purification* / Q000472:pathogenicity; D004756:Enterobacteriaceae Infections / Q000188:drug therapy / Q000382:microbiology*; D005260:Female; D005383:Finger Injuries / Q000382:microbiology*; D005547:Foreign Bodies / Q000382:microbiology*; D006801:Humans; D007121:Immunocompetence; D016712:Mupirocin / Q000627:therapeutic use; D009262:Nails; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000382:microbiology; D014946:Wound Infection / Q000188:drug therapy / Q000382:microbiology*
chemical_list: D000900:Anti-Bacterial Agents; D016712:Mupirocin; D004318:Doxycycline; D002506:Cephalexin