Case report: The first case of Achromobacter xylosoxidans-related tunnel infection in a patient receiving peritoneal dialysis

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Abstract

Rationale:

Achromobacter xylosoxidans infection is mostly reported in immunocompromised patients. Until now, it is still rarely reported in patients undergoing peritoneal dialysis.

Patient concerns:

This is the 1st case of A xylosoxidans infection due to tunnel infection of a Tenckhoff catheter.

Diagnosis:

The diagnosis was confirmed by the report of culture.

Interventions:

Risk factors for this infection in peritoneal dialysis include uremia with an immunocompromised state, contamination due to inexperienced skills, and aqueous environment of the dialysate.

Outcome:

We believe that finding the source of A xylosoxidans contamination is the most important aspect of the overall treatment of the infection.

Lessons:

Environmental investigation of suspected source contamination is warranted in those with A xylosoxidans infection. Once the diagnosis is made, removal of the Tenckhoff catheter should not be delayed.

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