Nadir bir yara enfeksiyonu etkeni: Achromobacter xylosoxidans olgu sunumu

Öz

Achromobacter xylosoxidans, neden fırsatçı aerobik, enfeksiyonlara non-fermentatif ve gram negatif bir bakteridir. Bu raporda, ayağına sert cisim çarpması sonucu yara enfeksiyonu gelişen ve travma sonrası kronikleşen olguda nadir tespit edilen tartışılmıştır. 63 yaşında erkek hastada bir yıl önce ayak travması sonrası yara enfeksiyonu gelişmiştir. İki kez debridman ve ampirik antibiyotik tedavisi başlanan hastada enfeksiyon tekrarlanmıştır. Kliniğimize başvuran olgunun kültür antibiyogram sonuçlarına göre başlanan tedavisi sonucu klinik iyileşme sağlanmıştır

Anahtar Kelimeler

• Achromobacter xylosoxidans, yara infeksiyonu

A rare wound infection agent: Achromobacter xylosoxidans a case report

Öz

Achromobacter xylosoxidans is an aerobic, non-fermenting and gram-negative bacteria causing opportunistic infections. In this report, a patient who’s foot was injured by impact with a hard object and infected by A. xylosoxidans which is rare is discussed. One year after the trauma in the 63 year old male, infection developed in the foot. Twice debridman and aupiric antibiotic treatment started but infection returned. The patient attended the clinic, then based on the culture antibiogram results, a new treatment regime was started and the patient improved

Anahtar Kelimeler

• Achromobacter xylosoxidans, wound infection

Kaynakça

1. Igra-Sıegman Y, Chmel H, Cobbs C. Clinical and laboratory characteristics of Achromobacter xylosoxidans infection. J Clin Microbiol, 1980; 11 (2): 141-5.
2. Atalay S, Ece G, Samlioğlu P. Clinical and microbiological evaluation of eight patients with isolated Achromobacter xylosoxidans. Scand J Infect Dis, 2012; 44 (10): 798-801.
3. Kaya Y, Uysal S, Öztürk A.M. Diyabetik ayak infeksiyonunda nadir rastlanan bir etken: Achromobacter xylosoxidans. Ankem Derg, 2013; 27(1): 67 (53).
4. Eshwara V.K., Mukhopadhyay C, Mohan S. Two unique presentations of Achromobacter xylosoxidans J Infect Dev Ctries, 2011; 5 (2): 138-41.
5. Puthucheary SD, Ngeow YF. Infections with Achromobacter xylosoxidans. Singapore Med J, 1986; 27: 58-62.
6. Neuwirth C, Freby C, Ogier-Desserrey A, Perez- Martin S, Houzel A, Pedninot A et al. VEB-1 in Achromobacter xylosoxidans from Cystic Fibrosis Patient, France. Emerg Infect Dis, 2006; 12 (11): 1737-9.
7. Stephanie L. Claassen, Jason M. Reese, Vincent Mysliwiec. Achromobacter xylosoxidans Infection Presenting as a Pulmonary Nodule Mimicking Cancer. J Clin Microbiol, 2011; 49: 2761-64.
8. McGann KA, Provencher M, Hoegg C. A. xylosoxidans Bacteriemia. Infect Control Hosp Epidemiol, 1990; 11 (10): 539-41.

9. Legrand C, Anaissie E. Bacteremia Due to Achromobacter xylosoxidans in Patients with Cancer. Clin Infect Dis, 1992; 14(2): 479-84.
10. Sgrelli A, Mencacci A, Fiorio M, Orlandi C, Baldelli F, Luigi De Socio G.V. Achromobacter denitrificans renal abscess. New Microbiol, 2012; 35: 245-7.