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Case Rep Infect Dis. 2018 Sep 4;2018:5353085. doi: 10.1155/2018/5353085. eCollection 2018.

Successful Treatment of Olecranon Bursitis Caused by Trueperella bernardiae: Importance of Environmental Exposure and Pathogen Identification.

Author information

1
Infection Preventionist, Margaret R. Pardee Memorial Hospital, 800 North Justice Street, Hendersonville, NC 28791, USA.
2
Medical Director, Pardee Hospital Center for Infectious Diseases, 705 6th Avenue West, Suite D, Hendersonville, NC 28739, USA.
3
Department of Microbiology, Margaret R. Pardee Memorial Hospital, 800 North Justice Street, Hendersonville, NC 28791, USA.
4
Department of Animal Science, Berry College, P.O. Box 493259, Mount Berry, GA 30149, USA.
5
Department of Radiology, Margaret R. Pardee Memorial Hospital, 800 North Justice Street, Hendersonville, NC 28791, USA.
6
Assistant Professor, Wingate University School of Pharmacy, 805 6th Avenue West, Suite 200, Hendersonville, NC 28739, USA.

Abstract

A livestock farmer with a history of arthropathy presented with unilateral olecranon bursal swelling and tenderness. Multiple wound and intraoperative cultures revealed growth of Trueperella bernardiae, a Gram-positive coccobacillus, with symptom resolution following appropriate antimicrobial therapy. To our knowledge, this is the first case report of olecranon bursitis caused by this organism. Coryneform bacteria are often regarded as contaminants in clinical cultures, but advanced techniques for species identification may reveal expanded pathogenic potential of individual species like T. bernardiae and elucidate epidemiologic clues for osteoarticular infections in these cases.

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