Abstract
This is the first case in the English language describing Achromobacter xylosoxidans in a patient with idiopathic bronchiectasis. A 66-year-old man with bronchiectasis presented with shortness of breath to the emergency department of our institution, a district hospital in the UK. His medications included long-term supplemental oxygen therapy and prophylactic azithromycin. Following 2 days admission to the respiratory unit, his saturations significantly deteriorated, and the patient was admitted to intensive care with type II respiratory failure. Following a week of intubation and ventilation, multidrug resistant A. xylosoxidans was isolated from the tracheal aspiration secretions. The patient recovered after receiving targeted intravenous antimicrobial therapy.
Original language | English |
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Article number | e211610 |
Journal | BMJ Case Reports |
Volume | 11 |
Issue number | 1 |
Early online date | 28 Nov 2018 |
DOIs | |
Publication status | Published - Nov 2018 |
Keywords
- Achromobacter denitrificans
- Aged
- Anti-Bacterial Agents/administration & dosage
- Bronchiectasis/drug therapy
- Gram-Negative Bacterial Infections/drug therapy
- Humans
- Male