Achromobacter spp. are emerging pathogens in the lungs of patients with cystic fibrosis. We report the case of an adult patient with cystic fibrosis and chronic A. xylosoxidans infection who experienced rapid, progressive clinical deterioration. Metagenomic analysis of the sputum revealed that the airway microbiota was almost entirely dominated by A. xylosoxidans. We review the impact of this organism on lung function and the airway microbiome in cystic fibrosis, and discuss the potential for cross-infection between patients. (C) 2016 Elsevier Ltd. All rights reserved.
机构:
Wayne State Univ, Sch Med, Pulm Crit Care & Sleep Med, Detroit, MI 48201 USAWayne State Univ, Sch Med, Pulm Crit Care & Sleep Med, Detroit, MI 48201 USA
Nassar, Mo'ath
Soubani, Ayman
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Wayne State Univ, Sch Med, Pulm Crit Care & Sleep Med, Detroit, MI 48201 USAWayne State Univ, Sch Med, Pulm Crit Care & Sleep Med, Detroit, MI 48201 USA
机构:
Northern Ireland Public Health Lab., Department of Bacteriology, Belfast City Hospital, Belfast BT9 7AD, Lisburn Road
School of Biomedical Sciences, University of Ulster, Coleraine Co. Londonderry BT52 1SA, Cromore RoadNorthern Ireland Public Health Lab., Department of Bacteriology, Belfast City Hospital, Belfast BT9 7AD, Lisburn Road
Moore J.E.
Shaw A.
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Northern Ireland Public Health Lab., Department of Bacteriology, Belfast City Hospital, Belfast BT9 7AD, Lisburn RoadNorthern Ireland Public Health Lab., Department of Bacteriology, Belfast City Hospital, Belfast BT9 7AD, Lisburn Road
Shaw A.
Howard J.L.
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N. IRL Reg. Adult Cyst. Fibros. Ctr., Belfast City Hospital, Belfast BT9 7AB, Lisburn RoadNorthern Ireland Public Health Lab., Department of Bacteriology, Belfast City Hospital, Belfast BT9 7AD, Lisburn Road
Howard J.L.
Dooley J.S.G.
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School of Biomedical Sciences, University of Ulster, Coleraine Co. Londonderry BT52 1SA, Cromore RoadNorthern Ireland Public Health Lab., Department of Bacteriology, Belfast City Hospital, Belfast BT9 7AD, Lisburn Road
Dooley J.S.G.
Elborn J.S.
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N. IRL Reg. Adult Cyst. Fibros. Ctr., Belfast City Hospital, Belfast BT9 7AB, Lisburn Road
Department of Respiratory Medicine, The Queen's University of Belfast, Belfast City Hospital, Belfast BT9 7AB, Lisburn RoadNorthern Ireland Public Health Lab., Department of Bacteriology, Belfast City Hospital, Belfast BT9 7AD, Lisburn Road
机构:
Cheng Ching Gen Hosp, Dept Family Med, Taichung, TaiwanCheng Ching Gen Hosp, Dept Family Med, Taichung, Taiwan
Tsai, Jun-Li
Tsai, Shang-Feng
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Taichung Vet Gen Hosp, Div Nephrol, Dept Internal Med, Taichung, Taiwan
Tunghai Univ, Dept Life Sci, Taichung, Taiwan
Nation Yang Ming Univ, Dept Med, Taipei, TaiwanCheng Ching Gen Hosp, Dept Family Med, Taichung, Taiwan