Fasciitis by Lactococcus garvieae on an immunosuppressed patient by Diabetes Mellitus

Gustavo A. Valencia-Mesias; Iliana N. Cano-Calero; Ana  Castillo-Soto

doi:10.54034/mic.e1245

Authors

Gustavo A. Valencia-Mesias Infectology Department, Hospital de Emergencias de Villa el Salvador, Peru https://orcid.org/0000-0003-2841-2659
Iliana N. Cano-Calero Infectology Department, Hospital de Emergencias de Villa el Salvador, Peru
Ana Castillo-Soto School of Medicine, Peruvian University of Applied Sciences, Peru; Sociedad Científica de Estudiantes de Medicina UPC, Peru https://orcid.org/0000-0002-4654-1457

DOI:

https://doi.org/10.54034/mic.e1245

Keywords:

fasciitis, lactococcus garvieae, Covid-19

Abstract

Lactococcus garvieae, a gram-positive anaerobe facultative coccus, is a well-known pathogen in the aquaculture and cattle sector, being extremely rare for human beings. There are some case reports of infections caused by this microorganism, however, there are no fasciitis cases up to date. This is a case of a 24-year-old patient with uncontrolled diabetes mellitus and previous COVID-19 pneumonia without sequelae, admitted to the emergency room for a case compatible with fasciitis. Three cultures for L. garvieae were obtained from surgical debridement and microbiological studies were performed using automated VITEK-2 equipment. No posterior complications were documented. The patient went through a skin graft with a favorable response without evidence of clinical relapse.

References

Malek A, De la Hoz A, Gomez-Villegas SI, Nowbakht C, Arias CA. Lactococcus garvieae, an unusual pathogen in infective endocarditis: case report and review of the literature. BMC Infect Dis. 2019 Apr 3;19(1):301.

Ferrario C, Ricci G, Milani C, Lugli GA, Ventura M, Eraclio G, et al. Lactococcus garvieae: where is it from? A first approach to explore the evolutionary history of this emerging pathogen. PLoS One. 2013 Dec 31;8(12):e84796.

González-Bravo DH, Alegre-Boschetti S, Silva-Cantillo R, Mercado-Maldonado J, Ramos-Márquez R, Torres-Rivera G, Cortés C, Mercado-Crespo J. Lactococcus garvieae: An Uncommon Human Pathogen Causing Infective Endocarditis in a Valve-in-Valve Transcatheter Aortic Valve Replacement. Case Rep Cardiol. 2021 Jul 11;2021:5569533

Clavero R, Escobar J, Ramos-Avasola S, Merello L, Álvarez F. Endocarditis por Lactococcus garvieae en un paciente sometido a hemodialisis crónica. Primer caso reportado en Chile y revisión de la literatura. Revista chilena de infectología. 2017;34(4):397–403.

Hirakawa TF, Costa FAA da, Vilela MC, Rigon M, Abensur H, Araújo MRE de. Endocardite por lactococcus garvieae: primeiro relato de caso da América Latina. Arq Bras Cardiol. 2011 Nov;97(5):e108–10.

Kim JH, Go J, Cho CR, Kim JI, Lee MS, Park SC. First report of human acute acalculous cholecystitis caused by the fish pathogen Lactococcus garvieae. J Clin Microbiol. 2013 Feb;51(2):712–4.

Chao CT, Lai CF, Huang JW. Lactococcus garvieae peritoneal dialysis peritonitis. Perit Dial Int. 2013 Jan;33(1):100–1.

Aubin GG, Bémer P, Guillouzouic A, Crémet L, Touchais S, Fraquet N, et al. First report of a hip prosthetic and joint infection caused by Lactococcus garvieae in a woman fishmonger. J Clin Microbiol. 2011 May;49(5):2074–6.

Walther C, Rossano A, Thomann A, Perreten V. Antibiotic resistance in Lactococcus species from bovine milk: presence of a mutated multidrug transporter mdt(A) gene in susceptible Lactococcus garvieae strains. Vet Microbiol. 2008 Oct 15;131(3-4):348–57.

Grabbe S, Beissert S, Enk A. Systemic immunosuppression in times of COVID-19: Do we need to rethink our standards? J Dtsch Dermatol Ges. 2020;18(8):810–3.