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Case report: The first case of Achromobacter xylosoxidans-related tunnel infection in a patient receiving peritoneal dialysis.

Authors :
Tsai JL
Tsai SF
Source :
Medicine [Medicine (Baltimore)] 2017 Apr; Vol. 96 (16), pp. e6654.
Publication Year :
2017

Abstract

Rationale: Achromobacter xylosoxidans infection is mostly reported in immunocompromised patients. Until now, it is still rarely reported in patients undergoing peritoneal dialysis.<br />Patient Concerns: This is the 1st case of A xylosoxidans infection due to tunnel infection of a Tenckhoff catheter.<br />Diagnosis: The diagnosis was confirmed by the report of culture.<br />Interventions: Risk factors for this infection in peritoneal dialysis include uremia with an immunocompromised state, contamination due to inexperienced skills, and aqueous environment of the dialysate.<br />Outcome: We believe that finding the source of A xylosoxidans contamination is the most important aspect of the overall treatment of the infection.<br />Lessons: Environmental investigation of suspected source contamination is warranted in those with A xylosoxidans infection. Once the diagnosis is made, removal of the Tenckhoff catheter should not be delayed.

Details

Language :
English
ISSN :
1536-5964
Volume :
96
Issue :
16
Database :
MEDLINE
Journal :
Medicine
Publication Type :
Academic Journal
Accession number :
28422870
Full Text :
https://doi.org/10.1097/MD.0000000000006654