Achromobacter xylosoxidans Bacteremia in a Child with Neutropenia.
- Author:
Byeong Jun AHN
1
;
Dong Hyun KIM
;
Jun Seak GANG
;
Kyeong Bae PARK
Author Information
1. Department of Pediatrics, Soonchunhyang University College of Medicine, Cheonan, Korea. kbpark@schmc.ac.kr
- Publication Type:Case Report
- Keywords:
Achromobacter xylosoxidans;
Bacteremia;
Neutropenia;
Child
- MeSH:
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
- From:Soonchunhyang Medical Science
2018;24(1):110-112
- CountryRepublic of Korea
- Language:Korean
-
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.