Achromobacter Xylosoxidans Bloodstream Infection in Elderly Patient with Hepatocellular Carcinoma: Case Report and Review of Literature

Autor: Kausalya Raghuraman, Nishat H Ahmed, Frincy K Baruah, Rajesh K Grover
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Journal of Laboratory Physicians, Vol 7, Iss 02, Pp 124-127 (2015)
Druh dokumentu: article
ISSN: 0974-2727
0974-7826
DOI: 10.4103/0974-2727.163133
Popis: Achromobacter xylosoxidans is a nonfermentative Gram-negative organism, known to cause opportunistic infection in humans. We report a case of septicemia in a 76-year-old male patient with underlying hepatocellular carcinoma due to A. xylosoxidans, which showed a different antimicrobial susceptibility pattern from what is usually reported. From aerobic blood culture of the patient, A. xylosoxidans was isolated which was found to be sensitive to amoxicillin-clavulanic acid, piperacillin-tazobactam, ceftazidime, cefoperazone-sulbactam, meropenem, minocycline, tigecycline, and trimethoprim/sulfamethoxazole. The patient recovered with amoxicillin-clavulanic acid treatment, which was given empirically to the patient. The present case highlights the possible role of amoxicillin-clavulanic acid for treatment of bloodstream infection with A. xylosoxidans.
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