Symbiotic Infections Wheeless

Description: Wheeless Textbook of Orthopaedics Discussion: - caused by non hemolytic Strep and hemolytic Staph aureus; - although staph alone may show up on culture, special attention may must be paid to isolating the microaerophilic Streptococceae; - necrotizing fascitis may occur, especially in diabetics; - any hand infection that does not respond to local drainage, wet dressings, and antibiotics should be suspected of having a symbiotic infection; - if special techniques are not used, the diagnosis of a symbiotic infection will be missed, and Staph aureus, Bacillus pyocyaneus, Proteus, and Enterococci will predominate on culture;