A Rare Instance of Recurrent Achromobacter Infection in an Immune- Competent Individual

ABSTRACT

Introduction: Achromobacter xylosoxidans is a rare pathogenthat causes opportunistic and rarely, nosocomial infectionsin immune-compromised patients, with high mortality. Weencountered a rare presentation of recurrent A.xylosoxidansinfection in an immune-competent individual.Case Report A 40-year-old lady presented with a rightscapular swelling for 1 week. She had mild pain and lowgrade fever. She had no comorbidities apart from a pastlaparoscopic cholecystectomy for cholelithiasis. Monthslater, she was diagnosed with multiple liver abscesses, withA.xylosoxidans as the causative organism gown in culture. Shewas asymptomatic for 2 years thereafter. The right scapularswelling was diffuse, non-tender and non-erythematous.Conclusion: A.xylosoxidans rarely causes liver abscesses,although there have been few reports of similar cases in patientsfollowing cholecystectomy, similar to the case in discussion,indicating a possible association between cholecystectomyand A.xylosoxidans infection, even in immune-competentpatients. Infection may be recurrent, and may requireprolonged antibiotic therapy and close surveillance.