title: Achromobacter species endocarditis: A case report and literature review.
abstract: Endocarditis due to Achromobacter species is a rare, yet serious, endovascular infection. Achromobacter species infective endocarditis is associated with underlying immunodeficiencies or prosthetic heart valves and devices. A case of prosthetic pulmonary valve endocarditis secondary to Achromobacter xylosoxidans subspecies denitrificans is described in the present report. This life-threatening infection was successfully treated with combined valve replacement and prolonged antibiotic therapy. A Medline/PubMed literature review of Achromobacter endocarditis was also performed. Achromobacter species are an uncommon, yet important, cause of nosocomial endocarditis. Given the significant associated morbidity and mortality, along with a high degree of intrinsic antibiotic resistance, Achromobacter species infective endocarditis remains a clinical treatment challenge.
authors.affiliation: Department of Medicine, Division of Infectious Diseases, Virginia Commonwealth University Medical Center;
authors.forename: Catherine
authors.initials: C
authors.lastname: Derber
authors.forename: Kara
authors.initials: K
authors.lastname: Elam
authors.forename: Betty A
authors.initials: BA
authors.lastname: Forbes
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Bearman