Neisseria elongata osteomyelitis: Literature review and case report in a 63-year-old male presenting with progressive right-handed redness, swelling and pain

Amanda F. Spielman, Ammara Ghumman, Zubin Panthaki, Anne Sophie Lessard

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Neisseria elongata, a gram-negative rod, has been identified in 23 cases of pathogenesis in the literature, of which only 2 were osteomyelitis. Here we report the third known case of isolated N. elongata cultures in a digital osteomyelitis. Presentation of case: A 63-year-old male with peripheral vascular disease and lower extremity wounds presented to his vascular surgeon with right-handed redness and pain requiring urgent surgical intervention. Irrigation, debridement, and partial thumb amputation were performed, followed by treatment with a 6-week course of antibiotics. Discussion: N. elongata is a rare cause of osteomyelitis and unfamiliarity with the causal organism and rod-like morphology may delay diagnosis and treatment. Conclusion: Gram-negative coverage should be considered in high-risk populations with cellulitis to prevent progression to fulminant abscesses, suppurative tenosynovitis and osteomyelitis.

Original languageEnglish (US)
Pages (from-to)228-230
Number of pages3
JournalInternational Journal of Surgery Case Reports
Volume73
DOIs
StatePublished - 2020

Keywords

  • Gram-negative rod
  • Management
  • Neisseria elongata
  • Osteomyelitis

ASJC Scopus subject areas

  • Surgery

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