Achromobacter xylosoxidans mesh related infection: a case of delayed diagnosis and management

Vishal Gupta; Suhas Nirkhiwale; Parul Gupta; Satish Phatak

doi:10.1016/j.jinf.2011.09.005

Achromobacter xylosoxidans mesh related infection: a case of delayed diagnosis and management

J Infect. 2012 Mar;64(3):e1-5. doi: 10.1016/j.jinf.2011.09.005. Epub 2011 Sep 22.

Authors

Vishal Gupta¹, Suhas Nirkhiwale, Parul Gupta, Satish Phatak

Affiliation

¹ Department of Surgical Gastroenterology, Chhatrapati Shahuji Maharaj Medical University,(Erstwhile King George Medical College), Lucknow 226003, Uttar Pradesh, India. vggis@yahoo.co.in

PMID: 21959012
DOI: 10.1016/j.jinf.2011.09.005

Abstract

We present the first case of mesh related infection caused by Achromobacter xylosoxidans after ventral hernia repair. After repair of a small paraumbilical hernia, the postoperative course was complicated by persistent discharging sinuses despite the removal of underlying polypropylene mesh. Removal of an intrabdominal omental inflammatory mass containing pus that showed growth of A. xylosoxidans led to the resolution of all the symptoms.

Publication types

Case Reports

MeSH terms

Achromobacter denitrificans / drug effects
Achromobacter denitrificans / isolation & purification*
Aged
Anti-Bacterial Agents / administration & dosage
Anti-Bacterial Agents / pharmacology
Anti-Bacterial Agents / therapeutic use*
Delayed Diagnosis*
Gram-Negative Bacterial Infections / diagnosis*
Gram-Negative Bacterial Infections / drug therapy*
Hernia, Ventral / complications
Hernia, Ventral / surgery
Humans
Male
Microbial Sensitivity Tests
Surgical Mesh / microbiology*
Surgical Wound Infection / diagnosis*
Treatment Outcome

Substances

Anti-Bacterial Agents