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Journal of Clinical Microbiology, August 2005, p. 4293-4295, Vol. 43, No. 8
0095-1137/05/$08.00+0     doi:10.1128/JCM.43.8.4293-4295.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.

CASE REPORT

Clindamycin-Resistant Fusobacterium varium Bacteremia and Decubitus Ulcer Infection

M. C. Legaria,* G. Lumelsky, V. Rodriguez, and S. Rosetti

Hospital Gral de Agudos "E. Tornú," Buenos Aires, Argentina

Received 6 October 2004/ Returned for modification 19 December 2004/ Accepted 5 April 2005

Bacteremia due to Fusobacterium spp. is unusual (<10% of cases of anaerobic bacteremia), and the isolation of Fusobacterium varium is especially uncommon. The most probable sources of Fusobacterium bacteremia are the respiratory, the gastrointestinal, and the genitourinary tracts. A.-M. Bourgault et al. (Clin. Infect. Dis. 25[Suppl. 2]:181-183) described 40 patients with Fusobacterium bacteremia; only 3 had Fusobacterium varium, and no one had decubitus scars as the portal of entry. In another published series (S. Henry, A. De Maria, and W. R. McCabe, Am. J. Med. 75:225-231, 1983) of 26 cases, two patients had concomitant pulmonary lesions and decubitus ulcers but there was no identification to the species level mentioned. We report a case of Fusobacterium varium bacteremia and infected sacral decubitus ulcer in an elderly patient.

* Corresponding author. Mailing address: Combatientes de Malvinas 3002, Buenos Aires, Argentina. Phone: 54-11-4521-1236. Fax: 54-11-4521-0020. E-mail: mclegaria{at}tutopia.com.

Journal of Clinical Microbiology, August 2005, p. 4293-4295, Vol. 43, No. 8
0095-1137/05/$08.00+0     doi:10.1128/JCM.43.8.4293-4295.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.





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