Chronic osteomyelitis caused by Achromobacter xylosoxidans following orthopaedic trauma: A case report and review of the literature
Background: Achromobacter xylosoxidans is an opportunistic environmental aerobe. In cases where A. xylosoxidans infects humans, it most commonly manifests as bacteraemia in the immunosuppressed. A. xylosoxidans causing chronic osteomyelitis is rare, particularly in the immunocompetent and young. Cas...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-01-01
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| Series: | IDCases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214250921001670 |
| _version_ | 1818728544378814464 |
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| author | Sahand Imani Asanka Wijetunga Sarah Shumborski Edmund O’Leary |
| author_facet | Sahand Imani Asanka Wijetunga Sarah Shumborski Edmund O’Leary |
| author_sort | Sahand Imani |
| collection | DOAJ |
| description | Background: Achromobacter xylosoxidans is an opportunistic environmental aerobe. In cases where A. xylosoxidans infects humans, it most commonly manifests as bacteraemia in the immunosuppressed. A. xylosoxidans causing chronic osteomyelitis is rare, particularly in the immunocompetent and young. Case: We present the case of a 23-year-old man with chronic osteomyelitis of the right femur caused by co-infection of A. xylosoxidans and Staphylococcus aureus. Five years earlier, he had sustained a right femur fracture and was treated with intramedullary fixation at a peripheral hospital in a developing nation. Past medical history was otherwise unremarkable. Management comprised of surgical debridement and culture-directed antibiotic therapy, resulting in clinical cure. Conclusion: In the context of local trauma and previous surgery, osteomyelitis caused by atypical pathogens must be considered. A multidisciplinary approach commensurate with duration and severity of infection and tailored to the causative organism is paramount. |
| first_indexed | 2024-12-17T22:31:41Z |
| format | Article |
| id | doaj.art-8b6c17e22b6c405b85eb695662a9c8d3 |
| institution | Directory Open Access Journal |
| issn | 2214-2509 |
| language | English |
| last_indexed | 2024-12-17T22:31:41Z |
| publishDate | 2021-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | IDCases |
| spelling | doaj.art-8b6c17e22b6c405b85eb695662a9c8d32022-12-21T21:30:10ZengElsevierIDCases2214-25092021-01-0125e01211Chronic osteomyelitis caused by Achromobacter xylosoxidans following orthopaedic trauma: A case report and review of the literatureSahand Imani0Asanka Wijetunga1Sarah Shumborski2Edmund O’Leary3Department of Orthopaedic Surgery, Hornsby Ku-Ring-Gai Hospital, Sydney, New South Wales, AustraliaSchool of Medicine, The University of Sydney, Sydney, New South Wales, Australia; Corresponding author.Department of Orthopaedic Surgery, Hornsby Ku-Ring-Gai Hospital, Sydney, New South Wales, AustraliaDepartment of Orthopaedic Surgery, Hornsby Ku-Ring-Gai Hospital, Sydney, New South Wales, AustraliaBackground: Achromobacter xylosoxidans is an opportunistic environmental aerobe. In cases where A. xylosoxidans infects humans, it most commonly manifests as bacteraemia in the immunosuppressed. A. xylosoxidans causing chronic osteomyelitis is rare, particularly in the immunocompetent and young. Case: We present the case of a 23-year-old man with chronic osteomyelitis of the right femur caused by co-infection of A. xylosoxidans and Staphylococcus aureus. Five years earlier, he had sustained a right femur fracture and was treated with intramedullary fixation at a peripheral hospital in a developing nation. Past medical history was otherwise unremarkable. Management comprised of surgical debridement and culture-directed antibiotic therapy, resulting in clinical cure. Conclusion: In the context of local trauma and previous surgery, osteomyelitis caused by atypical pathogens must be considered. A multidisciplinary approach commensurate with duration and severity of infection and tailored to the causative organism is paramount.http://www.sciencedirect.com/science/article/pii/S2214250921001670Achromobacter xylosoxidansChronicOsteomyelitisFemurTraumaManagement |
| spellingShingle | Sahand Imani Asanka Wijetunga Sarah Shumborski Edmund O’Leary Chronic osteomyelitis caused by Achromobacter xylosoxidans following orthopaedic trauma: A case report and review of the literature IDCases Achromobacter xylosoxidans Chronic Osteomyelitis Femur Trauma Management |
| title | Chronic osteomyelitis caused by Achromobacter xylosoxidans following orthopaedic trauma: A case report and review of the literature |
| title_full | Chronic osteomyelitis caused by Achromobacter xylosoxidans following orthopaedic trauma: A case report and review of the literature |
| title_fullStr | Chronic osteomyelitis caused by Achromobacter xylosoxidans following orthopaedic trauma: A case report and review of the literature |
| title_full_unstemmed | Chronic osteomyelitis caused by Achromobacter xylosoxidans following orthopaedic trauma: A case report and review of the literature |
| title_short | Chronic osteomyelitis caused by Achromobacter xylosoxidans following orthopaedic trauma: A case report and review of the literature |
| title_sort | chronic osteomyelitis caused by achromobacter xylosoxidans following orthopaedic trauma a case report and review of the literature |
| topic | Achromobacter xylosoxidans Chronic Osteomyelitis Femur Trauma Management |
| url | http://www.sciencedirect.com/science/article/pii/S2214250921001670 |
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