면역저하가 없는 환자에서 Alcaligenes xylosoxidans에 의한 호흡기계 감염 2예
Two Cases of Pulmonary Infection due to A.xylosoxidans Infection in an Immunocompentent Patient
남동혁 (국민건강보험공단 일산병원)
김도현 (국민건강보험공단 일산병원)
김선혜 (국민건강보험공단 일산병원)
김하나 (국민건강보험공단 일산병원)
한창훈 (국민건강보험공단 일산병원)
이선민 (국민건강보험공단 일산병원)
김정주 (국민건강보험공단 일산병원)
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Abstract
Alcaligenes xylosoxidans is a catalase and oxidase positive, motile, nonfermentative and gram-negative rod bacterium. A. xylosoxidans infection is a rare cause of pulmonary infection and little information concerning treatment is available. The majority of patients that develop A. xylosoxidans infection belong to a high-risk group due to an immunocompromised condition or due to pulmonary cystic fibrosis. We report two rare cases of immunocompentent patients that developed a pulmonary infection due to A. xylosoxidans. A 77-year-old man was admitted with a lung abscess. The patient denied having any prior medical illness. A culture of bronchial washing fluid showed the presence of A. xylosoxidans. Despite appropriate antibiotic treatment, the patient died from acute respiratory distress syndrome (ARDS). Another patient, a 61-year-old man without an underlying disease, was admitted with empyema. Under the condition of a closed thoracostomy, a high fever persisted and the empyema was also aggravated. A. xylosoxidans was detected from a culture of pleural fluid. Susceptible antibiotic treatment was provided and surgical intervention was performed. We report these cases with a review of the literature.
- keywords
- Alcaligenes xylosoxidans, Pulmonary infection, Gram-negative rod
참고문헌
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