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학술저널
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대한진단검사의학회 Annals of Laboratory Medicine Annals of Laboratory Medicine 제36권 제1호
발행연도
2016.1
수록면
70 - 72 (3page)

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Dear Editor, Bordetella, of the family Alcaligenaceae, is a genus containing gram-negative coccoid rod species. To date, nine species have been assigned to the genus Bordetella [1]. Human infections caused by B. petrii have seldom been reported since its first detection in 2001 [2-8]. Among seven reported cases, four were recovered from respiratory specimens [4-6, 8], while three were recovered from pus specimens of patients with bone-related infections [2, 3, 7]. A 52-yr-old man without any medical history was admitted to a tertiary-care hospital (Hospital A) in Seoul, Korea, for tibia and fibula fractures of both legs. He had sustained a crush injury to both legs on a riverboat in Thailand. He had undergone surgery and subsequently presented with purulent discharge from the muscle flap site of the left leg. The wound culture revealed a gram-negative rod identified as Achromobacter denitrificans by using a VITEK 2 GNI card (bioMérieux, Marcy l’Etoile, France). After a month of managing the abscess site, the patient was transferred to another hospital (Hospital B) in Ilsan, Korea. At that hospital, deep tissue and bone cultures revealed the presence of Bordetella bronchiseptica and Alcaligenes species, respectively, using MicroScan (Dade Behring, West Sacramento, CA, USA). During a 15-month follow-up, nonunion of fractured sites was observed. The patient was then admitted to our hospital (Hospital C) in Seoul, Korea, to undergo surgery for the delayed union. After discharge, his leg wound was managed at an outpatient clinic because his laboratory tests carried out three days after the surgery showed leukocytosis (14×109/L) with elevated C-reactive protein (CRP) level (182.2 mg/L).

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