Abstract:
RATIONALE:Achromobacter xylosoxidans infection is mostly reported in immunocompromised patients. Until now, it is still rarely reported in patients undergoing peritoneal dialysis. PATIENT CONCERNS:This is the 1st case of A xylosoxidans infection due to tunnel infection of a Tenckhoff catheter. DIAGNOSIS:The diagnosis was confirmed by the report of culture. 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. OUTCOME:We believe that finding the source of A xylosoxidans contamination is the most important aspect of the overall treatment of the infection. 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.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Tsai JL,Tsai SFdoi
10.1097/MD.0000000000006654subject
Has Abstractpub_date
2017-04-01 00:00:00pages
e6654issue
16eissn
0025-7974issn
1536-5964pii
00005792-201704210-00051journal_volume
96pub_type
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