Case Report


Deep wound infection caused by Enterococcus raffinosus in a below-knee amputation: A rare post-surgical complication

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1 Western Reserve Health Education, 1350 E Market St, Warren, OH 44483, USA

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Marielle Roberts-McDonald

Ross University School of Medicine, 10315 USA Today Way, Miramar, FL 33025,

USA

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Article ID: 100017Z16MM2025

doi: 10.5348/100017Z16MM2025CR

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How to cite this article

Roberts-McDonald M, Brooker M, Mansur S, Vitvitsky E. Deep wound infection caused by Enterococcus raffinosus in a below-knee amputation: A rare postsurgical complication. J Case Rep Images Infect Dis 2025;8(1):1–4.

ABSTRACT


Enterococcus species are commonly associated with nosocomial infections including urinary tract infections, bacteremia, and endocarditis. Enterococcus raffinosus is rarely diagnosed; however, it has been reported more recently over the last few decades. The case presented below illustrates a rare wound infection with positive wound cultures for E. raffinosus in a 68-year-old male with significant comorbidities and recent surgeries. Early diagnosis and treatment are essential due to the high mortality rate associated with this bacterium. When considering deep wound infections, E. raffinosus should be considered on the differential when determining the management of these patients.

Keywords: Deep wound, Deep wound infection, Enterococcus raffinosus, Enterococcus species, Post-surgical complication

SUPPORTING INFORMATION


Acknowledgments

Verbal and written consent was obtained from the patient prior to publication submission.

Author Contributions

Marielle Roberts-McDonald - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Megan Brooker - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Shabnam Mansur - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published

Eugene Vitvitsky - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2025 Marielle Roberts-McDonald et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.