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June 1989

Cellulitis of the Foot due to Eikenella corrodens

Author Affiliations

Section of Infectious Diseases University Hospital Saskatoon, Saskatchewan, Canada S7N 0X0; Division of Infectious Diseases Department of Medicine 2E4, 11 W. C. MacKenzie Health Sciences Center University of Alberta Edmonton, Alberta, Canada T6G 2B7

Arch Dermatol. 1989;125(6):849-850. doi:10.1001/archderm.1989.01670180121027

To the Editor.—  Eikenella corrodens is a facultative gramnegative bacillus that is a normal inhabitant of the human mouth. Eikenella corrodens infection is relatively uncommon and may occur at many body sites, but the skin is the most common site of infection. Human bites and fist fights are the most common predisposing factors. Most E corrodens skin infections occur on the upper extremities. We report herein the first case of E corrodens cellulitis of a lower extremity. This infection was the consequence of a penetrating injury caused by an object contaminated with oral flora. The clinical appearance was indistinguishable from streptococcal or staphylococcal cellulitis.

Report of a Case.—  A 49-year-old woman, otherwise in normal health, was admitted with a 1-week history of redness, swelling, and tenderness of the dorsum of her left foot. Four weeks prior to admission, she had stepped on a "used toothpick" in her kitchen, and the

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