No abstract

This case report describes a 49-year-old immunocompromised woman with tenosynovitis of the left middle finger caused by Group B Streptococcus (GBS). She claimed that a fishbone picked over her left middle finger. An orthopaedic surgeon operated for incision and drainage of pus discharge, wound debridement of the left middle finger and A1 and A2 pulley release. Treatment was initiated with parenteral cefepime three times per day given the growth of mixed Enterobacter species on the culture media and continued with oral cefuroxime twice daily upon discharge for one week. Unfortunately, during the orthopaedic clinic follow-up, the wound was unclean with a slough and skin necrotic patch. Therefore, Ray’s amputation of the left middle finger proceeded. This case contributes to further investigation of the GBS tenosynovitis due to the rise in GBS invasive infections and shows the importance of early diagnosing and initiating treatment with antibiotics that are effective against this pathogen.

Group B Streptococcus (GBS) is a leading cause of various infectious diseases among humans and fish. However, the likelihood of GBS interspecies transmission that lead to potential zoonotic problem is less investigated. This study determined the antimicrobial susceptibility, serotype, virulence and pili genes, and sequence type (ST) of GBS isolated from humans and cultured tilapia in Malaysia. We report an unusual detection of the fish-adapted ST283 in human GBS isolates. Both ST283 obtained from humans and fish had several phenotypical and genotypic characteristics in common, including virulence and pilus genes as well as antimicrobial susceptibility, illustrating the value of monitoring GBS within the One Health scope. The study sheds light on the evolution of the GBS and provides new evidence for the potential interspecies transmission by identifying two human GBS isolates belonging to the variant common in fish hosts.