Chronic osteomyelitis caused by Achromobacter xylosoxidans following orthopaedic trauma: A case report and review of the literature☆
| Autor: | Asanka R. Wijetunga, Edmund O’Leary, Sahand Imani, Sarah Shumborski |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Achromobacter xylosoxidans 030106 microbiology Context (language use) Case Report Infectious and parasitic diseases RC109-216 Trauma law.invention Intramedullary rod 03 medical and health sciences 0302 clinical medicine law medicine Femur 030212 general & internal medicine Chronic Orthopaedic trauma Past medical history biology business.industry Osteomyelitis medicine.disease biology.organism_classification Surgery Management Infectious Diseases Chronic osteomyelitis business |
| Zdroj: | IDCases IDCases, Vol 25, Iss, Pp e01211-(2021) |
| ISSN: | 2214-2509 |
| Popis: | Background Achromobacter xylosoxidans is an opportunistic environmental aerobe. In cases where A. xylosoxidans infects humans, it most commonly manifests as bacteraemia in the immunosuppressed. A. xylosoxidans causing chronic osteomyelitis is rare, particularly in the immunocompetent and young. Case We present the case of a 23-year-old man with chronic osteomyelitis of the right femur caused by co-infection of A. xylosoxidans and Staphylococcus aureus. Five years earlier, he had sustained a right femur fracture and was treated with intramedullary fixation at a peripheral hospital in a developing nation. Past medical history was otherwise unremarkable. Management comprised of surgical debridement and culture-directed antibiotic therapy, resulting in clinical cure. Conclusion In the context of local trauma and previous surgery, osteomyelitis caused by atypical pathogens must be considered. A multidisciplinary approach commensurate with duration and severity of infection and tailored to the causative organism is paramount. |
| Databáze: | OpenAIRE |
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