title: Calcaneal osteomyelitis due to Achromobacter xylosoxidans: a case report.
abstract: Achromobacter xylosoxidans (A. xylosoxidans) has been described as an opportunistic pathogen causing infection. The case we describe is that of an elderly man who had osteomyelitis of calcaneal bone caused by A. xylosoxidans. As far as we are aware there are only 5 cases of osteomyelitis with A. xylosoxidans in the literature. Impaired defensive mechanism of the foot in direct contact with this waterborne bacterium can cause this disease. Because of the high level of antibiotic resistance of this bacterium, clinically more attention should be paid to patients who have impaired defensive mechanisms in their extremities, for example free flaps.
authors.affiliation: Ankara Research and Training Hospital, First Plastic, Reconstructive and Aesthetics Surgery Clinic, 06100 Ankara, Turkey. kadriozer@hotmail.com
authors.forename: Kadri
authors.initials: K
authors.lastname: Ozer
authors.forename: Yuksel
authors.initials: Y
authors.lastname: Kankaya
authors.forename: Ruser
authors.initials: R
authors.lastname: Baris
authors.forename: Cem Inan
authors.initials: CI
authors.lastname: Bektas
authors.forename: Ugur
authors.initials: U
authors.lastname: Kocer
mesh_terms: D042402:Achromobacter / Q000302:isolation & purification*; D002111:Calcaneus / Q000000981:diagnostic imaging / Q000382:microbiology*; D016905:Gram-Negative Bacterial Infections / Q000382:microbiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000382:microbiology*; D011859:Radiography