{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T04:50:37Z","timestamp":1775710237111,"version":"3.50.1"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: Escherichia hermannii is an infrequent monomicrobial pathogen in human infections. Notably, it has never been documented as the sole isolate in cases of infected radial shaft fractures.\n\nCase Report: This report presents a case of a non-union in a distal third radius shaft fracture associated with an E. hermannii-infected implant that remained in situ. The patient, who suffered a crush injury 3 months prior, initially underwent open reduction and internal fixation using a fibula strut graft secured with a titanium plate, along with primary wound closure. However, after 12 weeks, he developed an infection at the implant site, accompanied by a sinus tract. To address this complication, a repeat debridement was performed, and a retention strategy was implemented, allowing the original implant to be preserved.\n\nConclusion: The patient was treated with intravenous meropenem for 7 days, followed by an 11-week course of oral ciprofloxacin. At the conclusion of treatment, he remained free of infection, asymptomatic, and was able to continue working with excellent functional outcomes.\n\nKeywords: Escherichia hermannii, radial shaft fracture, implant-associated infection, nonunion, biofilm.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i04.7050","type":"journal-article","created":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T04:15:20Z","timestamp":1775708120000},"page":"94-98","source":"Crossref","is-referenced-by-count":0,"title":["Escherichia hermannii: A Rare Pathogen in Implant-Associated Infection Following a Type III C Open Distal Radius Fracture \u2013 A Case Report"],"prefix":"10.13107","volume":"16","author":[{"given":"M","family":"Jyothiprasanth","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Baby Memorial Hospital, Kannur, Kerala, India,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C R","family":"Jithin","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Baby Memorial Hospital, Kannur, Kerala, India,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S Venkatesh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, SIMATS, Saveetha Medical College, Thandalam, Chennai, Tamil Nadu, 602 105, India,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rohini","family":"Venkatesh","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Baby Memorial Hospital, Kannur, Kerala, India,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T P","family":"Ajinas","sequence":"additional","affiliation":[{"name":"Clinical Pharmocology Department of Orthopaedics , Baby Memorial Hospital, Kannur, Kerala, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed Hadi","family":"Mansoor","sequence":"additional","affiliation":[{"name":"Clinical Pharmocology Department of Orthopaedics , Baby Memorial Hospital, Kannur, Kerala, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T04:15:39Z","timestamp":1775708139000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/04\/escherichia-hermannii-a-rare-pathogen-in-implant-associated-infection-following-a-type-iii-c-open-distal-radius-fracture-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i04.7050","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}