title: A Case of Wound Infection with Providencia rettgeri and Coincident Gout in a Patient from Guam.
abstract: Providencia rettgeri (P. rettgeri) is a ubiquitous organism that is infrequently associated with human disease. Here we report the isolation of this organism from a polymicrobial wound infection resulting from ruptured tophi on a 54-year-old male patient from Guam. We describe the identification and confirmation of this organism, and propose metabolic synergy as a possible mechanism of pathogenesis. To our knowledge, this is the first published report of a wound infection colonized by P. rettgeri from Guam, and the first report to speculate upon the role of bacterial synergy in P. rettgeri pathogenesis.
authors.affiliation: Tripler Army Medical Center; Honolulu, HI.
authors.forename: Michael A
authors.initials: MA
authors.lastname: Washington
authors.affiliation: Tripler Army Medical Center; Honolulu, HI.
authors.forename: Jason
authors.initials: J
authors.lastname: Barnhill
authors.affiliation: Tripler Army Medical Center; Honolulu, HI.
authors.forename: Jaclyn M
authors.initials: JM
authors.lastname: Griffin
mesh_terms: D004756:Enterobacteriaceae Infections / Q000382:microbiology*; D006073:Gout / Q000150:complications*; D006141:Guam; D006801:Humans; D008297:Male; D008875:Middle Aged; D011532:Providencia / Q000302:isolation & purification / Q000472:pathogenicity*; D014946:Wound Infection / Q000382:microbiology*