Achromobacter Xylosoxidans

Posted by christy89 @christy89, 1 day ago

Is Achromobacter Xylosoxidans growth in the ear of a healthy 10 year old common?

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@christy89 Achromobacter Xylosoxidans infection in any healthy person is rare, it is usually limited to those with underlying conditions like Cystic Fibrosis. However, it is not uncommon in the environment, so it does appear from time to time in cultures. It becomes concerning if it invades beyond the outer ear, so it is wise to see an otolaryngologist (ENT) or Infectious Disease specialist if your child has chronic ear infections, or has had tubes in the ears.
Here is a case study on the matter:
https://www.sciencedirect.com/science/article/pii/S2468548820300783
How was this unusual infection isolated?

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Profile picture for Sue, Volunteer Mentor @sueinmn

@christy89 Achromobacter Xylosoxidans infection in any healthy person is rare, it is usually limited to those with underlying conditions like Cystic Fibrosis. However, it is not uncommon in the environment, so it does appear from time to time in cultures. It becomes concerning if it invades beyond the outer ear, so it is wise to see an otolaryngologist (ENT) or Infectious Disease specialist if your child has chronic ear infections, or has had tubes in the ears.
Here is a case study on the matter:
https://www.sciencedirect.com/science/article/pii/S2468548820300783
How was this unusual infection isolated?

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@sueinmn
An Ent specialist swabbed his ear and sent it off for a upper respiratory culture and it came back with Achromobacter Xylosoxidans heavy growth 4 days after it was sent off.

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Profile picture for christy89 @christy89

@sueinmn
An Ent specialist swabbed his ear and sent it off for a upper respiratory culture and it came back with Achromobacter Xylosoxidans heavy growth 4 days after it was sent off.

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@christy89 What does the doctor plan to do as far as treatment? Is there any possibility localized ear drops can handle it, or is the eardrum perforated?

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It was only sensitive to four out of the thirteen antibiotics on the culture sensitivity test. Only 1 out of the 4 was an oral antibiotic so he’s currently on that one for treatment and a repeat culture will be done in 2 weeks to see if it worked. The ENT told me that there are no ear drops that would treat this particular bacteria.

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Profile picture for christy89 @christy89

It was only sensitive to four out of the thirteen antibiotics on the culture sensitivity test. Only 1 out of the 4 was an oral antibiotic so he’s currently on that one for treatment and a repeat culture will be done in 2 weeks to see if it worked. The ENT told me that there are no ear drops that would treat this particular bacteria.

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@christy89 Can you get him to take probiotics? Maybe gummies (if they even make them?)

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