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Recurrent Achromobacter piechaudii bacteremia in a patient with hematological malignancy
S E Kay1, R A Clark, K L White
1Department of Microbiology, PathCare Consulting Pathologists, Geelong District Hospital, Geelong, Victoria 3220, Australia. Stephen.Kay@med.monash.edu.au
Journal of Clinical Microbiology
|February 7, 2001
Summary
This study reports the first case of recurrent bacteremia caused by Achromobacter piechaudii in an immunocompromised patient with an intravenous catheter. This finding highlights a rare bacterial infection associated with medical devices.
Area of Science:
- Medical Microbiology
- Infectious Diseases
- Clinical Case Reports
Background:
- Recurrent bloodstream infections (bacteremia) pose significant clinical challenges, particularly in immunocompromised individuals.
- Intravenous catheters are common sources of healthcare-associated infections, often linked to bacterial colonization and subsequent bacteremia.
- Achromobacter species, previously classified under Alcaligenes, are increasingly recognized as opportunistic pathogens.
Observation:
- A 73-year-old immunocompromised man presented with recurrent bacteremia.
- The bacteremia was associated with an intravenous catheter.
Findings:
- The causative agent was identified as Achromobacter piechaudii (formerly Alcaligenes).
- This represents the first documented case of bacteremia due to A. piechaudii.
Implications:
- Highlights A. piechaudii as a potential pathogen in catheter-associated infections.
- Emphasizes the importance of vigilant monitoring for unusual pathogens in immunocompromised patients.
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