citrobactor koseri Infection

I have been surprised to get a patient who was operated on his shoulder for rotator cuff repair, wound healed well, he was to be followed up after 6 weeks. he came back at 3 weeks, with a wound discharge and culture  grew Citrobactor Koseri.

which is very unusual infective organism in shoulder wounds

it was sensitive to Co-amoxiclov and Ciprofloxacin. responded well to the treatment, but took many weeks.

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