title: Recurrent Septic Arthritis Due to Achromobacter xylosoxidans in a Patient With Granulomatosis With Polyangiitis.
abstract: We report a case of recurrent Achromobacter xylosoxidans infections including bacteremia, sepsis, septic joints and endocarditis in a 72 year old female with granulomatosis with polyangiitis. Achromobacter xylosoxidans is a gram negative bacteria increasingly identified in immunocompromised patients. Surgical and medical therapy may need to be combined.
authors.affiliation: Department of Internal Medicine, Division of Infectious Diseases , University of Michigan Medical School ; Department of Medicine, Division of Infectious Diseases , Veterans Affairs Ann Arbor Healthcare System , Michigan.
authors.forename: Payal K
authors.initials: PK
authors.lastname: Patel
authors.affiliation: Department of Orthopedics, Beth Israel Deaconess Medical Center , Harvard Medical School , Boston, Massachusetts.
authors.forename: Arvind
authors.initials: A
authors.lastname: von Keudell
authors.affiliation: Department of Traumatology , Paracelsus Medical University , Salzburg , Austria.
authors.forename: Philipp
authors.initials: P
authors.lastname: Moroder
authors.affiliation: Department of Orthopedics, Beth Israel Deaconess Medical Center , Harvard Medical School , Boston, Massachusetts.
authors.forename: Paul
authors.initials: P
authors.lastname: Appleton
authors.affiliation: Department of Medicine, Division of Infectious Diseases , Beth Israel Deaconess Medical Center, Harvard Medical School , Lowry Medical Office Building, Boston, Massachusetts.
authors.forename: Robin
authors.initials: R
authors.lastname: Wigmore
authors.affiliation: Department of Orthopedics, Beth Israel Deaconess Medical Center , Harvard Medical School , Boston, Massachusetts.
authors.forename: Edward K
authors.initials: EK
authors.lastname: Rodriguez
keywords: Achromobacter; gram negative; native joint; septic arthritis; virulence