Multiresistant enterobacter sakazakii wound infection in an adult

Enterobacter sakazakii wound infection was identified in a man with peripheral vascular disease who had undergone numerous surgical procedures. The organism was resistant to multiple antibiotics and required prolonged, broad-spectrum treatment. This gram-negative enteric bacillus has been implicated most often in neonatal meningitis and sepsis and has only rarely been isolated in adults. In earlier reports, it was susceptible to a variety of antibiotics, but the emergence of antibiotic resistance has been reported more recently. In the context of recent trends, this case supports basing treatment of E sakazakii infections on antibiotic susceptibility results.