Osteomyelitis Due to Citrobacter koseri Infection in a Diabetic Patient

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Yagci S., Arslan K., Tufan Z. K. , Kinikli S., Demiroz A. P.

JOURNAL OF ENDOCRINOLOGY AND METABOLISM, vol.1, no.3, pp.146-148, 2011 (ESCI) identifier

  • Publication Type: Article / Article
  • Volume: 1 Issue: 3
  • Publication Date: 2011
  • Doi Number: 10.4021/jem36e
  • Journal Indexes: Emerging Sources Citation Index (ESCI)
  • Page Numbers: pp.146-148
  • Keywords: Citrobacter, Osteomyelitis, Diabetes
  • Süleyman Demirel University Affiliated: Yes


Citrobacter infections are reported in neonates and immunocompromised patients most commonly. Citrobacter koseri (diversus) is an important cause of neonatal meningitis and brain abscess formation. But osteomyelitis is a rare condition and very few cases were reported. We described a 68-years-old man with diabetes mellitus who had 1st metatarsal osteomyelitis due to Citrobacter koseri. Intravenous treatment with piperacillin-tazobactame was administered for 3 weeks and the wound was recovered completely. Citrobacter koseri can be a cause of osteomyelitis in patients with underlying predisposing factors and bone cultures should be evaluated to detect probable pathogens and determine proper antimicrobial therapy.