Journal of Laboratory Physicians
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CASE REPORT
Year : 2015  |  Volume : 7  |  Issue : 2  |  Page : 124-127

Achromobacter Xylosoxidans bloodstream infection in elderly patient with Hepatocellular Carcinoma: Case report and review of literature


1 Department of Laboratory Medicine, Delhi State Cancer Institute, New Delhi, India
2 Department of Clinical Oncology, Delhi State Cancer Institute, New Delhi, India

Correspondence Address:
Nishat H Ahmed
Department of Laboratory Medicine, Delhi State Cancer Institute, New Delhi
India
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Source of Support: Nil., Conflict of Interest: None


DOI: 10.4103/0974-2727.163133

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Achromobacter xylosoxidansis a nonfermentative Gram-negative organism, known to cause opportunistic infection in humans. We report a case of septicemia in a 76-year-old male patient with underlying hepatocellular carcinoma due to A. xylosoxidans, which showed a different antimicrobial susceptibility pattern from what is usually reported. From aerobic blood culture of the patient, A. xylosoxidanswas isolated which was found to be sensitive to amoxicillin-clavulanic acid, piperacillin-tazobactam, ceftazidime, cefoperazone-sulbactam, meropenem, minocycline, tigecycline, and trimethoprim/sulfamethoxazole. The patient recovered with amoxicillin-clavulanic acid treatment, which was given empirically to the patient. The present case highlights the possible role of amoxicillin-clavulanic acid for treatment of bloodstream infection with A. xylosoxidans.


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