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Published on: June 13, 2018
An unusual skin infection with Achromobacter xylosoxidans
Matthew D Crosby1, Angelo A Petropolis2, Vernon T Mackey1
1Advanced Desert Dermatology/Midwestern University, Glendale, Arizona, USA.
Abstract:
Achromobacter xylosoxidans is an emerging, multidrug-resistant pathogen capable of forming biofilms on medical products that primarily infects immunocompromised patients. We present the case of a 50-year-old immunocompetent woman who developed an A xylosoxidans granulomatous abscess at the attachment site of her insulin pump. She was successfully treated with surgical excision and oral trimethoprim-sulfamethoxazole (TMP-SMX). This case demonstrates further emergence of A xylosoxidans as a potential pathogen, not only in immunocompromised individuals but in any patient with an indwelling catheter.
Insights
Achromobacter xylosoxidans, a multidrug-resistant pathogen, can infect immunocompetent individuals, as seen in a case involving an insulin pump site abscess. Successful treatment involved surgery and trimethoprim-sulfamethoxazole (TMP-SMX).
Area of Science:
- Infectious Diseases
- Medical Microbiology
- Clinical Case Reports
Background:
- Achromobacter xylosoxidans is an emerging multidrug-resistant pathogen.
- It is known to cause infections primarily in immunocompromised patients.
- The pathogen's ability to form biofilms on medical devices is a significant concern.
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