Postsurgical osteomyelitis caused by Enterobacter sakazakii in a healthy young man

Enterobacter sakazakii, a Gram-negative rod-shaped bacterium, is a rare cause of invasive infections (meningitis, sepsis, necrotizing enterocolitis) with high death rates (40-80%), primarily in newborns. In contrast to the high number of cases in newborns, infants and children, there are only a few reported cases of E. sakazakii infections in adults, generally in subjects with pre-existing conditions such as neoplasms, and just one osteomyelitis of the foot. We report a confirmed case of post-surgical osteomyelitis of the femur caused by E. sakazakii in a young otherwise healthy man.