{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T08:49:36Z","timestamp":1784191776903,"version":"3.55.0"},"reference-count":32,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2017,2,10]],"date-time":"2017-02-10T00:00:00Z","timestamp":1486684800000},"content-version":"vor","delay-in-days":40,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Thorn injuries are common in the desert Southwest; however, the frequency and microbiology of thorn-associated infections have not been systematically described. Most information comes from case reports describing infections from atypical or environmental microorganisms. Our aim was to summarize the spectrum of thorn-associated infections.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a retrospective review of electronic health records for patients presenting to our institution from January 1, 2005 to December 31, 2014 for treatment of thorn-associated injuries and then focused on the patients with cultures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 2758 records reviewed, 1327 patients had thorn-associated injuries; however, only 58 (4.4%) had cultures. Of these patients, 37 (64%) had positive findings; 5 had polymicrobial infection. The most commonly identified organisms were Staphylococcus aureus (n = 22, 59.0%) and coagulase-negative Staphylococcus species (n = 8, 21.6%). Other pathogens included Nocardia species (n = 3, 8.1%), Streptococcus species (n = 2, 5.4%), Gram-negative bacteria (n = 2, 5.4%), Aspergillus species (n = 2, 5.4%), Paecilomyces lilacinus (n = 1, 2.7%), and Candida species (n = 1, 2.7%). There were no infections caused by Pantoea agglomerans, Sporothrix schenckii, or Coccidioides spp.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In contrast to most published case reports, we found that typical cutaneous microorganisms, such as Staphylococcus species, caused the majority of culture-positive, thorn-related infections.<\/jats:p><\/jats:sec>","DOI":"10.1093\/ofid\/ofx017","type":"journal-article","created":{"date-parts":[[2017,2,10]],"date-time":"2017-02-10T11:01:22Z","timestamp":1486724482000},"source":"Crossref","is-referenced-by-count":9,"title":["Culture-Proven Thorn-Associated Infections in Arizona: 10-Year Experience at Mayo Clinic"],"prefix":"10.1093","volume":"4","author":[{"given":"Sierra C.","family":"Simmons","sequence":"first","affiliation":[{"name":"Department of Internal Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adriane I.","family":"Budavari","sequence":"additional","affiliation":[{"name":"Division of Hospital Internal Medicine, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shimon","family":"Kusne","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Mayo Clinic Hospital, Phoenix, Arizona"},{"name":"Biostatistics, Mayo Clinic, Scottsdale, Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holenarasipur R.","family":"Vikram","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janis E.","family":"Blair","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2017,2,10]]},"reference":[{"key":"2020081005071952000_CIT0001","first-page":"849","article-title":"Cactus thorn injuries to the extremities: their management and etiology","volume":"37","author":"Karpman","year":"1980","journal-title":"Ariz Med"},{"key":"2020081005071952000_CIT0002","doi-asserted-by":"crossref","first-page":"1135","DOI":"10.1097\/00004728-198511000-00030","article-title":"Thorn synovitis: CT diagnosis","volume":"9","author":"Klein","year":"1985","journal-title":"J Comput Assist Tomogr"},{"key":"2020081005071952000_CIT0003","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/S0196-0644(96)70130-0","article-title":"Ultrasound versus radiography in the detection of soft-tissue foreign bodies","volume":"28","author":"Manthey","year":"1996","journal-title":"Ann Emerg Med"},{"key":"2020081005071952000_CIT0004","doi-asserted-by":"crossref","first-page":"1989","DOI":"10.1128\/JCM.00632-07","article-title":"Pantoea agglomerans, a plant pathogen causing human disease","volume":"45","author":"Cruz","year":"2007","journal-title":"J Clin Microbiol"},{"key":"2020081005071952000_CIT0005","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1128\/JCM.38.1.460-461.2000","article-title":"Isolation of Pantoea agglomerans in two cases of septic monoarthritis after plant thorn and wood sliver injuries","volume":"38","author":"De Champs","year":"2000","journal-title":"J Clin Microbiol"},{"key":"2020081005071952000_CIT0006","doi-asserted-by":"crossref","first-page":"3138","DOI":"10.1007\/s11999-008-0482-2","article-title":"Case report: subacute synovitis of the knee after a rose thorn injury: unusual clinical picture","volume":"466","author":"Duerinckx","year":"2008","journal-title":"Clin Orthop Relat Res"},{"key":"2020081005071952000_CIT0007","doi-asserted-by":"crossref","first-page":"386","DOI":"10.4103\/0377-4929.101754","article-title":"Pantoea agglomerans infection behaving like a tumor after plant thorn injury: an unusual presentation","volume":"55","author":"Jain","year":"2012","journal-title":"Indian J Pathol Microbiol"},{"key":"2020081005071952000_CIT0008","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1136\/adc.88.6.542","article-title":"Pantoea agglomerans as a cause of septic arthritis after palm tree thorn injury; 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