PT  - JOURNAL ARTICLE
AU  - Anthony Simon Bates
AU  - Manjula Natarajan
AU  - Raja Vongala Reddy
TI  - <em>Achromobacter xylosoxidans</em> in idiopathic cystic bronchiectasis
AID  - 10.1136/bcr-2015-211610
DP  - 2018 Nov 01
TA  - BMJ Case Reports
PG  - e211610
VI  - 11
IP  - 1
4099  - http://casereports.bmj.com/content/11/1/e211610.short
4100  - http://casereports.bmj.com/content/11/1/e211610.full
SO  - BMJ Case Reports2018 Nov 01; 11
AB  - This is the first case in the English language describing Achromobacter xylosoxidans in a patient with idiopathic bronchiectasis. A 66-year-old man with bronchiectasis presented with shortness of breath to the emergency department of our institution, a district hospital in the UK. His medications included long-term supplemental oxygen therapy and prophylactic azithromycin. Following 2 days admission to the respiratory unit, his saturations significantly deteriorated, and the patient was admitted to intensive care with type II respiratory failure. Following a week of intubation and ventilation, multidrug resistant A. xylosoxidans was isolated from the tracheal aspiration secretions. The patient recovered after receiving targeted intravenous antimicrobial therapy.