Soonchunhyang Med Sci.  2018 Jun;24(1):110-112. 10.0000/sms.2018.24.1.110.

Achromobacter xylosoxidans Bacteremia in a Child with Neutropenia

Affiliations
  • 1Department of Pediatrics, Soonchunhyang University College of Medicine, Cheonan, Korea. kbpark@schmc.ac.kr

Abstract

Achromobacter xylosoxidans is a non-fermentative, aerobic, oxidase, and catalase-positive Gram-negative rod similar to Pseudomonas species. This organism colonizes aquatic environments and can cause nosocomial infections, especially in patients with immune deficiency such as human immunodeficiency virus infection, cancer, cystic fibrosis, neutropenia, and immunoglobulin M deficiency. Infections are found as bacteremia, pneumonia, meningitis, urinary tract infection, abscess formation, and osteomyelitis. It is known that most effective antibiotics are piperacillin/tazobactam, meropenem, and trimethoprim/sulfamethoxazol. But there is no optimal antibiotic therapy so far. We present a case of Achromobacter xylosoxidans bacteremia in a 13-month-old Korean girl who had past history of neutropenia.

Keyword

Achromobacter xylosoxidans; Bacteremia; Neutropenia; Child

MeSH Terms

Abscess
Achromobacter denitrificans*
Achromobacter*
Anti-Bacterial Agents
Bacteremia*
Child*
Colon
Cross Infection
Cystic Fibrosis
Female
HIV
Humans
Immunoglobulin M
Infant
Meningitis
Neutropenia*
Osteomyelitis
Oxidoreductases
Pneumonia
Pseudomonas
Urinary Tract Infections
Anti-Bacterial Agents
Immunoglobulin M
Oxidoreductases
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