Calcaneal osteomyelitis due to Achromobacter xylosoxidans: a case report.

J Infect Chemother

Ankara Research and Training Hospital, First Plastic, Reconstructive and Aesthetics Surgery Clinic, 06100 Ankara, Turkey.

Published: December 2012

AI Article Synopsis

  • Achromobacter xylosoxidans is recognized as an opportunistic pathogen that can lead to infections, particularly in vulnerable individuals.
  • An elderly patient developed osteomyelitis in his heel bone due to this bacteria, marking one of only five documented cases in medical literature.
  • The bacterium, often found in water, poses a higher risk to patients with weakened defenses in their feet, necessitating increased clinical awareness for those with compromised extremities, such as individuals with free flaps.

Article Abstract

Achromobacter xylosoxidans (A. xylosoxidans) has been described as an opportunistic pathogen causing infection. The case we describe is that of an elderly man who had osteomyelitis of calcaneal bone caused by A. xylosoxidans. As far as we are aware there are only 5 cases of osteomyelitis with A. xylosoxidans in the literature. Impaired defensive mechanism of the foot in direct contact with this waterborne bacterium can cause this disease. Because of the high level of antibiotic resistance of this bacterium, clinically more attention should be paid to patients who have impaired defensive mechanisms in their extremities, for example free flaps.

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Source
http://dx.doi.org/10.1007/s10156-012-0373-zDOI Listing

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