S Barghouthi, G Hammad, M Kurdi
acinetobacterlwoffii, allergy, bacterial identification, cellulitis, diclofenac, misdiagnosis, universal method
S Barghouthi, G Hammad, M Kurdi. Acinetobacterlwoffii Induced Cellulitis with Allergy-like Symptoms. The Internet Journal of Microbiology. 2012 Volume 10 Number 2.
Few reports document the misdiagnosis of
Efficient therapyrelies on accurate and prompt diagnosis of a disease. Misdiagnosis is a major cause of delaying therapy; serious complications to the patient may arise. Misdiagnosis is increased when different diseases share common and confusing symptoms. Our observation is that some infectious diseases mimic allergic reactions and are wrongfully treated with anti-inflammatory drugs only. Prolonged treatments or exposure to these drugs may increase the risk for heart attack or stroke1,2. Unfortunately, these cases fall under malpractice and are not reported in a scientific context. A large number of medical malpractice cases are due to misdiagnosis or delayed diagnosis3.Therefore, it is difficult to draw a clear diagnostic picture of the similarities between allergy and certain infections, especially those caused by
Recent reports consider
Bacteria will continue to cause unusual infections as they seize rare opportunities. As host’s internal or external environment changes creating new niches that may become colonized with opportunistic bacteria. For example, prosthetic organ implants such as heart valves and other indwelling parts such as central vascular catheter-associated bacterial infections. Diagnostic laboratories must be able to identify these opportunistic bacteria16.
In this work we present evidence connecting misdiagnosis of
Materials and Methods
According to the “Hygiene Hypothesis”; the lack of early exposure to infectious and symbiotic microorganisms such as gut flora or probiotics increases susceptibility to allergic diseases by suppressing natural development of the immune system. Alternatively,a number of epidemiological studies show that exposure to farming environment during early childhood, strongly quellsthe development of allergic reactions later in life.Exposureto
The diagnosis of skin cellulitis caused by
Therefore, it is important to keep in mind that
For a robust, accurate, quick, inexpensive, and timeless method for the detection and identification of any bacterium, The Universal Method has been established.21 The method proved its usefulness in this study, it was also useful in the detection and identification of bacteria from cerebrospinal fluid (CSF) taken from potential bacterial meningitis cases22.
Skin and other infections that may appear similar to allergic reactions have been shown to be caused by bacterial infections some of which are caused by
Early serotyping studies of
The application of”The Universal Method” topure bacterial sample allows identification based on 16S sequencing21. It is recommended that the Universal Method be applied for the accurate detection and identification of bacterial pathogens. It will also assist in monitoring emerging infectious diseases. We recommend that “The Universal Method” be applied for routine bacterial identification. The unambiguous identification of
Based on the literature and the presented work regarding nosocomial infections, we recommend that efforts be made tosanitize hospital facilities. Ultra Violet, air filtration, and/or other means should be installed in hospital facilities to sanitize air and rooms; especially when closed or partially closed air circulation systems with poor fresh air aeration are utilized.