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- Title
A Case of Bacteremia by Achromobacter xylosoxidans in an Immunocompromised Host and Review of Literature.
- Authors
Rajni, Ekadashi; Kataria, Shaveta; Sarna, Mukesh Kumar; Garg, Vishnu Kumar
- Abstract
Achromobacter xylosoxidans is an uncommon nosocomial pathogen known to cause serious infections in immunocompromised patients. Long stays in critical care units often predispose to infection with this bacterium. A female patient, who is a known case of diabetes mellitus type 2, hypertension, and chronic kidney disease, presented to the emergency department with complaints of shortness of breath, generalized swelling, decreased urine output for 7 days, and altered sensorium for 1 day. A. xylosoxidans was isolated from paired blood culture. She was managed according to the antibiotic susceptibility report and was improving when she left against medical advice due to personal issues. The objective of presenting this case report is to stress upon the importance of communication between the microbiologist and the clinician. Embracing automation in microbiology laboratories is essential to identify such novel bacterium in time to achieve clinical and microbiological cures.
- Subjects
BACTEREMIA diagnosis; TREATMENT of chronic kidney failure; ANTIBIOTICS; CROSS infection prevention; INSULIN therapy; BACTEREMIA; BLOOD; INTENSIVE care units; ANTIHYPERTENSIVE agents; REVERSE transcriptase polymerase chain reaction; METHYLPREDNISOLONE; ENOXAPARIN; MEROPENEM; CEFTRIAXONE; HYPERTENSION; CELL culture; HEMOGLOBINS; UREA; COVID-19; INTRAVENOUS therapy; FEVER; IMMUNOCOMPROMISED patients; INFLAMMATION; URINATION disorders; INTUBATION; ANTIVIRAL agents; TYPE 1 diabetes; DYSPNEA; NEBULIZERS &; vaporizers; ARTIFICIAL respiration; GRAM-negative aerobic bacteria; CRITICAL care medicine; INTERPROFESSIONAL relations; COMMUNICATION; AUTOMATION; LEUKOCYTE count; PLATELET count; LOW-molecular-weight heparin; GRAM-negative bacterial diseases; URINALYSIS; HEMODIALYSIS; POLYMYXIN B; HAND washing; MICROBIAL sensitivity tests; ACIDOSIS; CREATININE; BUDESONIDE
- Publication
Archives of Medicine & Health Sciences, 2023, Vol 11, Issue 1, p141
- ISSN
2321-4848
- Publication type
Article
- DOI
10.4103/amhs.amhs_222_22