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Achromobacter species endocarditis: A Case Report and Literature Review

2011; Pulsus Group; Volume: 22; Issue: 3 Linguagem: Inglês

10.1155/2011/527412

1918-1493

Catherine Derber, Kara Elam, Betty A. Forbes, Gonzalo Bearman,

Infective Endocarditis Diagnosis and Management

Endocarditis due to Achromobacter species is a rare, yet serious, endovascular infection. Achromobacter species infective endocarditis is associated with underlying immunodeficiencies or prosthetic heart valves and devices. A case of prosthetic pulmonary valve endocarditis secondary to Achromobacter xylosoxidans subspecies denitrificans is described in the present report. This life-threatening infection was successfully treated with combined valve replacement and prolonged antibiotic therapy. A Medline/PubMed literature review of Achromobacter endocarditis was also performed. Achromobacter species are an uncommon, yet important, cause of nosocomial endocarditis. Given the significant associated morbidity and mortality, along with a high degree of intrinsic antibiotic resistance, Achromobacter species infective endocarditis remains a clinical treatment challenge.