Case report: The first case of Achromobacter xylosoxidans-related tunnel infection in a patient receiving peritoneal dialysis. Issue 16 (April 2017)

• Record Type: Journal Article
• Authors: Tsai, Jun-Li; Tsai, Shang-Feng
• Other Names: Pavlos. Malindretos section editor.
• Is Part Of: Medicine. Volume 96:Issue 16(2017)
• Publication Date: 2017-04
• Subjects: Achromobacter xylosoxidans -- peritoneal dialysis -- tunnel infection; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000006654
• Languages: English
• ISSNs: 0025-7974

Abstract

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.