Department of Internal Medicine, Division of Infectious Diseases , University of Michigan Medical School ; Department of Medicine, Division of Infectious Diseases , Veterans Affairs Ann Arbor Healthcare System , Michigan.
Department of Orthopedics, Beth Israel Deaconess Medical Center , Harvard Medical School , Boston, Massachusetts.
Open Forum Infect Dis. 2015 Sep 28;2(4):ofv145. doi: 10.1093/ofid/ofv145. eCollection 2015 Dec.
We report a case of recurrent Achromobacter xylosoxidans infections including bacteremia, sepsis, septic joints and endocarditis in a 72 year old female with granulomatosis with polyangiitis. Achromobacter xylosoxidans is a gram negative bacteria increasingly identified in immunocompromised patients. Surgical and medical therapy may need to be combined.
我们报告了一例 72 岁女性患肉芽肿性多血管炎(GPA)患者反复感染阿克曼菌(包括菌血症、败血症、化脓性关节炎和心内膜炎)的病例。阿克曼菌是一种革兰氏阴性菌,在免疫功能低下的患者中越来越多地被发现。可能需要手术和药物治疗相结合。