Achromobacter causing a thrombophlebitis and osteomyelitis combination: a rare cause

BMJ Case Rep. 2015 Sep 7:2015:bcr2015210718. doi: 10.1136/bcr-2015-210718.

Abstract

Achromobacter xylosoxidans is a Gram-negative, aerobic bacillus, present in normal human flora of the skin and gastrointestinal tract. Infections due to Achromobacter are infrequent and have mostly been reported in immunocompromised patients. Rarely, however, the microorganism can cause soft tissue infections even in healthy subjects with a history of trauma. We report thrombophlebitis complicated with osteomyelitis secondary to Achromobacter in a 15-year-old girl with a history of purulent discharge from the ankle due to local trauma caused by tight fitting shoes.

Publication types

  • Case Reports

MeSH terms

  • Achromobacter denitrificans / isolation & purification*
  • Adolescent
  • Ankle Injuries* / etiology
  • Anti-Bacterial Agents / administration & dosage
  • Female
  • Gram-Negative Bacterial Infections / drug therapy
  • Gram-Negative Bacterial Infections / microbiology*
  • Humans
  • Osteomyelitis / drug therapy
  • Osteomyelitis / microbiology*
  • Shoes
  • Soft Tissue Infections / drug therapy
  • Soft Tissue Infections / microbiology*
  • Soft Tissue Injuries / complications
  • Soft Tissue Injuries / microbiology*
  • Suppuration / microbiology
  • Thrombophlebitis / drug therapy
  • Thrombophlebitis / microbiology*
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents