title: Dual Lower Respiratory Tract Infection byBurkholderia cepaciaandAcinetobacter baumanniiin A Neonate: A Case Report.
abstract: Burkholderia cepacia(B.cepacia) andAcinetobacter baumannii(A.baumannii), the highly intrinsically resistant nonfermenters are known to cause frequent infections in immunocomproimsed or hospitalized patients with significant mortality rate. In this rare clinical presentation, both were simultaneously isolated from a case of neonatal sepsis with respiratory failure. The prompt early diagnosis and antibiogram of these nonfermenters were proved to be of tremendous help in the present case with successful treatment outcome of dual infection ofB.cepaciaandA.baumannii. The present case report strongly emphasises the clinical importance of early accurate diagnosis of these emerging potential fatal non-fermenters which could otherwise prove fatal in case of any slight delay or misidentification. Implementation of strict surveillance policy to monitor the growth of these non-fermenters and draconian infection control measure holds a key to success in significant reduction of the associated mortality and morbidity.
authors.affiliation: Senior Resident, Department of Microbiology, All India Institute of Medical Sciences (AIIMS) , Raipur, Chhattisgarh, India .
authors.forename: Neeta
authors.initials: N
authors.lastname: Gade
authors.affiliation: Assistant Professor, Department of Microbiology, All India Institute of Medical Sciences (AIIMS) , Raipur, Chhattisgarh, India .
authors.forename: Sanjay Singh
authors.initials: SS
authors.lastname: Negi
authors.affiliation: Assistant Professor, Department of Paediatrics, All India Institute of Medical Sciences (AIIMS) , Raipur, Chhattisgarh, India .
authors.forename: Atul
authors.initials: A
authors.lastname: Jindal
authors.affiliation: Assistant Professor, Department of Microbiology, All India Institute of Medical Sciences (AIIMS) , Raipur, Chhattisgarh, India .
authors.forename: Ujjwala
authors.initials: U
authors.lastname: Gaikwad
authors.affiliation: Associate Professor, Department of Microbiology, All India Institute of Medical Sciences (AIIMS) , Raipur, Chhattisgarh, India .
authors.forename: Padma
authors.initials: P
authors.lastname: Das
authors.affiliation: Additional Professor, Department of Microbiology, All India Institute of Medical Sciences (AIIMS) , Raipur, Chhattisgarh, India .
authors.forename: Anudita
authors.initials: A
authors.lastname: Bhargava
keywords: Drug resistance; Endotracheal (ET) tip and secretion; Non-fermenter