Abstract
MAXILLARY RHINOSINUSITIS WITH ACHROMOBACTER XYLOXOSIDANS COMPLICATED OF A NECROSIS BONE AND SKIN

Andriamampionona Ginnot B.*, Ralaivao Nasolo F. P., Rabearisona Manitra R., Rabetokotany Yves T. , Ramarozatovo Njakasoa P. and Rakotoarisoa AHN

ABSTRACT

Achromobacter is a gram-positive aerobic bacterium, belonging to the commensal flora of the ear and respiratory tract. Infection from this bacterium is rare. We report the case of a 54-year-old man, a surveyor with no particular background except for a long-standing iterative sinus puncture. The patient was hospitalized in our otolaryngology unit for management of a purulent naso-sinus infection complicated with osteo-cutaneous necrosis of the face. The bacteriological report of a collection at the infectious site finds Achromobacter xylosoxidans. He received antibiotic therapy adapted to the germ in question and flattened necrosis under general anesthesia. Achromobacter xylosoxidans is an invasive bacterium, multiresistant to several groups of antibiotics. Sinus localization is much rarer.

Keywords: Achromobacter xylosoxidans, multi-resistant, paranasal sinuses.


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