Case Report: Vibrio fluvialis isolated from a wound infection after a piercing trauma in the Baltic Sea

Vibrio spp. are Gram-negative bacteria found in marine ecosystems. Non-cholera Vibrio spp. can cause gastrointestinal infections and can also lead to wound infections through exposure to contaminated seawater. Vibrio infections are increasingly documented from the Baltic Sea due to extended warm weather periods. We describe the first isolation of Vibrio fluvialis from a wound infection acquired by an impalement injury in the shallow waters of the Baltic Sea. The severe infection required amputation of the third toe. Whole genome sequencing of the isolate was performed and revealed a genome consisting of two circular chromosomes with a size of 1.57 and 3.24 Mb.

Arthroskopisch gest�tzte Refixation von Ausrissen der Eminentia intercondylica �ber Fiber-Wire-Cerclagen

Avulsion fracture of the intercondylar eminence is a rare knee injury. It is found either isolated or connected to other bone or intra-articular injuries. Arthroscopically assisted treatment is nowadays the most common procedure. The refixation of the fragment is technically sophisticated and usually requires a longer period of immobilization. In two patients we used a suture cerclage with extreme tensile strength (Fiber-Wire, Arthrex Inc.) placed through a tibial guide. Using this procedure we combined the advantages of easy implantation, sufficient retention, and thereby the possibility of forced follow-up treatment. The present results are promising.