title: [Case report: respiratory infection due to Alcaligenes xylosoxidans in a patient with Mounier-Kuhn syndrome].
abstract: Mounier-Kuhn syndrome is a rare entity characterized by abnormal dilatation of the trachea and main bronchi (tracheobronchomegaly). Alcaligenes xylosoxidans is a non fermenting gram-negative pathogen common in extra-and intra-hospital environment, which may be related to immunosuppression states. We describe the case of a 75 years old male, ex-smoker with moderate functional obstruction, chronic respiratory failure and chronic colonization by Pseudomonas aeuriginosa. He had an infectious exacerbation of his disease, reason that previously required several hospital admissions. The patient was treated with antibiotics and his evolution was favourable with negativization in cultures of the pathogen. This is the first description of the isolation of Alcaligenes xylosoxidans as a cause of respiratory infection in a patient with Mounier-Kuhn syndrome.
authors.affiliation: Servicio de Neumología, Hospital General Universitario de Elche, Alicante, España. m_arroyo_cozar@hotmail.com
authors.forename: Marta
authors.initials: M
authors.lastname: Arroyo-Cózar
authors.forename: Montserrat
authors.initials: M
authors.lastname: Ruiz-García
authors.forename: Eva M
authors.initials: EM
authors.lastname: Merlos
authors.forename: David
authors.initials: D
authors.lastname: Vielba
authors.forename: Enrique
authors.initials: E
authors.lastname: Macías
mesh_terms: D000368:Aged; D000421:Alcaligenes / Q000302:isolation & purification*; D016905:Gram-Negative Bacterial Infections / Q000150:complications / Q000382:microbiology*; D006801:Humans; D008297:Male; D012141:Respiratory Tract Infections / Q000150:complications / Q000382:microbiology*; D014137:Tracheobronchomegaly / Q000150:complications*