title: Achromobacter xylosoxidans mesh related infection: a case of delayed diagnosis and management.
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.
authors.affiliation: Department of Surgical Gastroenterology, Chhatrapati Shahuji Maharaj Medical University,(Erstwhile King George Medical College), Lucknow 226003, Uttar Pradesh, India. vggis@yahoo.co.in
authors.forename: Vishal
authors.initials: V
authors.lastname: Gupta
authors.forename: Suhas
authors.initials: S
authors.lastname: Nirkhiwale
authors.forename: Parul
authors.initials: P
authors.lastname: Gupta
authors.forename: Satish
authors.initials: S
authors.lastname: Phatak
mesh_terms: D042441:Achromobacter denitrificans / Q000187:drug effects / Q000302:isolation & purification*; D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000494:pharmacology / Q000627:therapeutic use*; D057210:Delayed Diagnosis; D016905:Gram-Negative Bacterial Infections / Q000175:diagnosis* / Q000188:drug therapy*; D006555:Hernia, Ventral / Q000150:complications / Q000601:surgery; D006801:Humans; D008297:Male; D008826:Microbial Sensitivity Tests; D013526:Surgical Mesh / Q000382:microbiology*; D013530:Surgical Wound Infection / Q000175:diagnosis*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents