Achromobacter xylosoxidans’ın Neden Olduğu Hastane Kaynaklı Ürosepsis

Aslıhan DEMİREL; Neşe İNAN; Haluk AKPINAR; Nur EFE İRİS

doi:10.4274/mjima.2015.10

Achromobacter xylosoxidans’ın Neden Olduğu Hastane Kaynaklı Ürosepsis

PDF

OLGU SUNUMU

Achromobacter xylosoxidans’ın Neden Olduğu Hastane Kaynaklı Ürosepsis

Mediterr J Infect Microb Antimicrob 2015;4:10-10 DOI: 10.4274/mjima.2015.10

, , ,

PDF

İzin

Öz

Achromobacter xylosoxidans doğada, toprak ve suda bulunabilen bir mikroorganizmadır. İmmün sistemi baskılanmış hastalarda fırsatçı enfeksiyonlara neden olabilir. Üriner sistem anomalileri olan hastalarda nadiren üriner sistem enfeksiyonlarına yol açabilir. Bu olgu sunumunda 59 yaşında, kadın, endometriyum berrak hücreli karsinom tanısıyla yedi yıl önce total bilateral salpingooferektomi yapılmış bir hastada A. xylosoxidans ürosepsisi sunulmaktadır.

Anahtar Kelimeler: Sağlık bakımı ile ilgili enfeksiyon, sepsis, bakteremi, üriner sistem enfeksiyonu, infeksiyon

Kaynakça

1

Steinberg J, Del Rio C. Other gram-negative and gram-variable bacilli. Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Disease. 6th ed. Philedelphia: Churchill Livingstone Inc. 2005:2751-68.

2

Manfredi R, Nanetti A, Ferri M, Chiodo F. Bacteremia and respiratory involvement by Alcaligenes xylooxidans in patients infected with the human immunodefiency virus. Eur J Clin Microbiol Infect Dis. 1997;16:933-8.

3

Vu-Thien H, Darbord JC, Moissenet D, Dulot C, Dufourcq JB, Marsol P Garbarg-Chenon A. Investigation of an outbreak of wound infections due to Alcaligenes xylosoxidans transmitted by chlorhexidine in a burns unit. Eur J Clin Microbiol Infect Dis. 1998;17:724-6.

4

Tena D, Carranza R, Barbera JR, Valtezate S, Garrancho JM, Arranz M, Saez- Nieto JA. Outbreak of long-term intravascular catheter-related bacteremia due to Achromobacter xylosoxidans subspecies xylosoxidans in a hemodialysis unit. Eur J Clin Microbiol Infect Dis. 2005;24:727-32.

5

Hugon E, Marchandin H, Poirée M, Fosse T, Sirvent N. Achromobacter bacteremia outbreak in a paediatric onco-haematology department related to strain with high surviving ability in contaminated disinfectant atomizers. J Hosp Infect. 2015;89:116-22.

6

Turel O, Kavuncuoglu S, Hosaf E, Ozbek S, Aldemir E, Uygur T, Hatipoglu N, Siraneci R. Bacteremia due to Achromobacter xylosoxidans in neonates: clinical features and outcome. Braz J Infect Dis. 2013;17:450-4.

7

Clinical and Laboratory Standarts Institue CLSI (Formerly NCCLS). Performance standards for antimicrobial disk susceptibility tests; approved standard. 9th edition. 2006.

8

Yaabuuchi E, Ohyama A. Alcaligenes xylooxidans n. sp. from human ear discharge (Abstract). Jpn J Microbiol. 1971;15:477-81.

9

Turgutalp K, Kiykim A, Ersoz G, Kaya A. Fatal catheter-related bacteremia due to Alcaligenes (Achromobacter) xylosoxidans in a hemodialysis patient. Int Urol Nephrol. 2012;44:1281-3.

10

Ahmed MS, Nistal C, Jayan R, Kuduvalli M, Anjeet HK. Achromobacter xylosoxidans, an emerging pathogen in catheter-related infection in dialysis population causing prosthetic valve endocarditis: a case report and review of literatüre. Clin Nephrol. 2009;71:350-4.

11

Aisenberg G, Rolston KV, Safdar A. Bacteremia caused by Achromobacter and Alcaligenes species 46 patient with cancer (1989-2003). Cancer. 2004;101:2134-40.

12

Tena D, Gonzalez-Praetorius A, Perez-Balsalobre M, Sancho O, Bisquert J. Urinary tract infection due to Achromobacter xylosoxidans: Report of 9 cases. Scand J Infect Dis. 2008;40:84-7.

13

Van Hal S, Stark D, Marriott D, Harkness J. Achromobacter xylosoxidans subsp. Xylosoxidans prosthetic aortic valve infective endocarditis and aortic root abscesses. J Med Microbiol. 2008;57:525-7.