First case report of multidrug-resistant Tatumella ptyseos causing surgical site infection in Tanzania.

IF 0.5 Q3 MEDICINE, GENERAL & INTERNAL

Oxford Medical Case Reports Pub Date : 2025-05-28 eCollection Date: 2025-05-01 DOI:10.1093/omcr/omaf052

Anthon Mwingwa, Aminiel Shangali, Elieshiupendo Niccodem, Sabah Dewji, Sandra Sillas, Agricola Joachim, Mtebe Majigo

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引用次数: 0

Abstract

A 53-year-old man developed a surgical site infection after undergoing a pylorus-preserving pancreaticoduodenectomy despite receiving preventive antibiotics. The infection was linked to Tatumella ptyseos, a rare and multidrug-resistant gram-negative bacterium from the Enterobacterales order, which mainly affects immunocompromised individuals. Identifying the pathogen proved challenging; standard biochemical tests did not provide conclusive results, necessitating the use of the Analytical Profile Index and a specialized biochemical panel for Enterobacterales. This case marks the first documented occurrence of multidrug-resistant T. ptyseos causing a surgical site infection in Tanzania. It underscores the rising presence of uncommon pathogens in healthcare settings and emphasizes the need for enhanced diagnostic methods and infection control strategies, especially in resource-limited environments where antibiotic resistance presents significant challenges.

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坦桑尼亚首例引起手术部位感染的耐多药犬伤寒Tatumella报告。

一名53岁男性在接受保留幽门的胰十二指肠切除术后发生手术部位感染，尽管接受了预防性抗生素。该感染与犬伤寒塔umella ptyseos有关，这是一种罕见的多重耐药革兰氏阴性细菌，来自肠杆菌目，主要影响免疫功能低下的个体。事实证明，确定病原体具有挑战性；标准的生化测试不能提供结论性的结果，因此需要使用分析概况指数和专门的肠杆菌生化小组。这一病例标志着坦桑尼亚首次记录的多药耐药犬伤寒杆菌引起手术部位感染的病例。它强调了卫生保健环境中罕见病原体的增加，并强调需要加强诊断方法和感染控制战略，特别是在抗生素耐药性面临重大挑战的资源有限的环境中。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Oxford Medical Case Reports MEDICINE, GENERAL & INTERNAL-

CiteScore

0.90

自引率

0.00%

发文量

125

审稿时长

19 weeks

期刊介绍： Oxford Medical Case Reports (OMCR) is an open access, peer-reviewed online journal publishing original and educationally valuable case reports that expand the field of medicine. The journal covers all medical specialities including cardiology, rheumatology, nephrology, oncology, neurology, and reproduction, comprising a comprehensive resource for physicians in all fields and at all stages of training. Oxford Medical Case Reports deposits all articles in PubMed Central (PMC). Physicians and researchers can find your work through PubMed , helping you reach the widest possible audience. The journal is also indexed in the Web of Science Core Collection . Oxford Medical Case Reports publishes case reports under the following categories: Allergy Audiovestibular medicine Cardiology and cardiovascular systems Critical care medicine Dermatology Emergency medicine Endocrinology and metabolism Gastroenterology and hepatology Geriatrics and gerontology Haematology Immunology Infectious diseases and tropical medicine Medical disorders in pregnancy Medical ophthalmology Nephrology Neurology Oncology Paediatrics Pain Palliative medicine Pharmacology and pharmacy Psychiatry Radiology, nuclear medicine, and medical imaging Respiratory disorders Rheumatology Sexual and reproductive health Sports Medicine Substance abuse.