Infective endocarditis due to Achromobacter xylosoxidans: A case report and a literature review

Congenital heart disease (CHD) and invasive cardiac procedures are risk factors for infective endocarditis (IE) in children. IE with Achromobacter xylosoxidans is a rare case has high mortality rate. This report literature review aim to understand the factors, diagnosis, therapy, outcome of wirh xylosoxidans. We observed 14-months-old boy ventricular septal defect (VSD), history catheterization, 9 days fever febrile convulsion; tachycardia pansystolic murmur on tricuspid valve were found. Transthoracic echocardiography revealed vegetation valve. Monomicrobial clinical isolates consistently found three samples aerobic blood culture bottles. The patient was treated definitive antibiotic therapy 200 mg/8 hours ceftazidime 21 days. Bacterial growth not evaluation which performed after 48 therapy. Also, it that follow up period had no sixth day, size reduced. A CHD, especially VSD as an underlying condition who catheterization accompanied by murmur, should be suspected having IE. Then contributed better outcome.