PMC10169826_01
(A) Patients' right hand and index finger at day 1 postoperatively, (B) at day 10 postoperatively, (C) at day 13 postoperatively, and (D) at 2 months postoperatively.
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Postoperatively, the patient's health status remained stable, and her fever dropped, but with remaining subcutaneous swelling distending from the wound and with extensive transparent yellowish secretion ( Figure 1A ). The wound then healed, and the swelling improved ( Figures 1B, C ), but the patient developed a painful Achilles tendonitis bilateral as well as generalized muscle pain, which is a well-known side effect of levofloxacin. The patient started physical therapy and regained full range of motion without bowstringing and normal sensation 2 months postoperatively ( Figure 1D ).
A total of five colonies of Legionella longbeachae colonies grew on buffered charcoal yeast extract agar (BCYE).
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PCR result, cultivation was performed with a small amount of remaining sample on buffered charcoal yeast extract agar containing Legionella BCYE Growth Supplement (BCYE agar) and BCYE agar containing Legionella BMPA Growth Supplement (BMPA agar) (Oxoid Ltd., Basingstoke, UK) and incubated at 35 C and 5% CO2. Postoperatively at day 7, a total of five colonies had appeared ( Figure 2 ) that could be identified as L. longbeachae using matrix-assisted laser desorption/ionization-time of flight (MALDI-TOF) (Vitek MS; bioMerieux, France).