PP 101. Diabetic Foot Infections Caused by Achromobacter Xylosoxidans


H. Duran, O. Gökdemir, E. Duran, A Kizirgil

17:36 - 17:42h at Margrit Room

Categories: Cardiac and Vascular Surgery

Session: Poster II (P2) - Cardiac & Vascular Surgery / Inflammation & Wound Healing


Background
Achromobacter xylosoxidans is a nonfermentative, gram-negative bacillus and is rarely isolated from clinical material. The aim of this case report is to describe A.xylosoxidans isolated from three patients with diabetic foot infections.

Method and Materials
We present three cases: A. xylosoxidans caused an infection leading to diabetic foot.

Result
Three patients who were admitted with history of diabetic foot, were 76, 62 and 54 years old. They were hospitalized. Purulent exudate samples were obtained from wound infection of diabetic foot. The bacterium was isolated on blood and eosin methylene blue (EMB) agar plates. It was nonfermenter, oxidase positive and indol negative. Identification was carried out with Vitek 2 (bioMerieux) system. The isolates were susceptible to imipenem, meropenem, piperacillin-tazobactam, ceftazidime and trimetoprim/sulfamethoxazole. The patient were treated with piperacillin-tazobactam and ceftazidime. Control cultures remained sterile.

Conclusion
A.xylosoxidans is an opportunistic pathogen and can be isolated from wound infections. A.xylosoxidans has the potential to cause infection in patients with diabetic foot.