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Published on: July 18, 2017
Achromobacter denitrificans renal abscess.
Alessio Sgrelli1, Antonella Mencacci, Maurizio Fiorio
1Department of Infectious Diseases, University of Perugia, Perugia Italy. alessiosg@libero.it
Achromobacter denitrificans can cause kidney abscesses in immunocompetent individuals, often linked to kidney stones. This case highlights successful treatment with meropenem, marking the first reported instance of this specific infection.
Area of Science:
- Nephrology
- Infectious Diseases
- Microbiology
Background:
- Renal abscesses are uncommon, particularly in immunocompetent patients.
- Achromobacter species are emerging as opportunistic pathogens.
- Renal stones are a known risk factor for urinary tract infections and complications.
Observation:
- A 66-year-old immunocompetent male presented with a renal abscess.
- The abscess was associated with underlying renal lithiasis (kidney stones).
- The causative agent was identified as Achromobacter denitrificans.
Findings:
- This is the first reported case of a renal abscess caused by Achromobacter denitrificans.
- The patient received a 60-day course of meropenem (1g TID).
- Successful clinical and radiological resolution of the renal abscess was achieved.
Implications:
- Highlights Achromobacter denitrificans as a potential pathogen in renal infections.
- Suggests meropenem as an effective treatment option for Achromobacter denitrificans renal abscess.
- Underscores the importance of considering unusual bacteria in renal abscesses, especially in patients with risk factors like kidney stones.
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