Osteomielite por Bacillus licheniformis e Paenibacillus alvei em uma criança imunocompetente: relato de caso

Abstract

The aim of the study was to describe the evolution of a case of chronic osteomyelitis of the femur due to coinfection of Staphylococcus aureus, Bacillus licheniformis, and Paenibacillus alvei in a seven-year- old child. This is a case report of a seven-year-old patient, admitted in August 2020 to the Orthopedics and Traumatology emergency service of the Maria Aparecida Pedrossian University Hospital. After emergency treatment, the child was referred from another city with a pathological fracture of the distal left femur, associated with osteomyelitis of Staphylococcus aureus. There was growth of Bacillus licheniformis and Paenbabilus alvei. Osteomyelitis caused by Bacillus is an example of mixed deep tissue infection since Bacillus can be a copathogen with an organism of known pathogenicities, such as Staphylococcus aureus. The identification of a pathogen in an approach is essential for therapeutic management.