4.2 Article

Mediastinitis superinfected by Achromobacter xylosoxidans. A case report

Journal

JOURNAL OF INFECTION AND CHEMOTHERAPY
Volume 24, Issue 12, Pages 987-989

Publisher

ELSEVIER SCIENCE BV
DOI: 10.1016/j.jiac.2018.05.005

Keywords

Achromobacter xylosoxidans; Mediastinitis; Cardiac surgery; Surinfection; Staphylococcus aureus

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We describe an extremely rare case of mediastinitis superinfected by emerging Achromobacter xylosoxidans. After mitral and aortic valves replacement, the patient first developed a Staphylococcus aureus mediastinitis, and five days after starting adapted antibiotic therapy, superficial pus analysis revealed the presence of Achromobacter xylosoxidans. This superinfection was considered superficial and focus was made on Staphylococcus aureus mediastinitis. Three weeks later, no more Staphylococcus aureus was found in pus samples and the sepsis seemed under control. Unfortunately, blood cultures were again positive for Achromobacter xylosoxidans three weeks later and the patient died from septic shock. (C) 2018 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

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