Ann Clin Microbiol.  2019 Jun;22(2):50-54. 10.5145/ACM.2019.22.2.50.

Facklamia hominis Isolated from a Wound: A Case Report and Review of the Literature

Affiliations
  • 1Department of Laboratory Medicine, Seoul National University College of Medicine, Seoul, Korea. jeannie@snu.ac.kr
  • 2Department of Laboratory Medicine, Seoul National University Boramae Medical Center, Seoul, Korea.

Abstract

Facklamia hominis is a facultative anaerobic Gram-positive coccus generally displaying weak alpha-hemolysis and negativity for catalase and oxidase. Facklamia species are part of the normal flora of the female genitourinary tract and have been reported in invasive diseases such as meningitis and infective endocarditis, albeit rarely. A 67 year-old-man presented to hospital with a tender, erythematous epidermal cyst on the right side of his upper back. Simple excision of the cyst was performed and the pus was taken with a sterile swab for culture, yielding no growth. One week later, discharge was observed in the patient's wound site and a sterile swab for culture was taken. The colonies grown were identified as F. hominis by the Vitek 2 system (bioMérieux, France), and the result was then reported to clinicians, and later confirmed by 16S rRNA gene sequencing and matrix-assisted laser desorption/ ionization time-of-flight mass spectrometry. To the best of our knowledge, this is the first reported case of F. hominis isolation from a clinical specimen in Korea.

Keyword

16S rRNA gene sequencing; Facklamia hominis; Wound

MeSH Terms

Catalase
Endocarditis
Epidermal Cyst
Female
Genes, rRNA
Humans
Korea
Mass Spectrometry
Meningitis
Oxidoreductases
Suppuration
Wounds and Injuries*
Catalase
Oxidoreductases
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