Skip to main content

Calcaneal osteomyelitis due to Achromobacter xylosoxidans: a case report


Achromobacter xylosoxidans (A. xylosoxidans) has been described as an opportunistic pathogen causing infection. The case we describe is that of an elderly man who had osteomyelitis of calcaneal bone caused by A. xylosoxidans. As far as we are aware there are only 5 cases of osteomyelitis with A. xylosoxidans in the literature. Impaired defensive mechanism of the foot in direct contact with this waterborne bacterium can cause this disease. Because of the high level of antibiotic resistance of this bacterium, clinically more attention should be paid to patients who have impaired defensive mechanisms in their extremities, for example free flaps.

This is a preview of subscription content, access via your institution.

Fig. 1


  1. Yabuuchi E, Ohyama A. Achromobacter xylosoxidans n. sp. from human ear discharge. Jpn J Microbiol. 1971;15:477–81.

    PubMed  CAS  Google Scholar 

  2. Tena D, Gonzalez-Praetorius A, Perez-Balsalobre M, Sancho O, Bisquert J. Urinary tract infection due to Achromobacter xylosoxidans: report of 9 cases. Scand J Infect Dis. 2008;40:84–7.

    PubMed  Article  Google Scholar 

  3. Walsh RD, Klein NC, Cunha BA. Achromobacter xylosoxidans osteomyelitis. Clin Infect Dis. 1993;16:176–8.

    PubMed  Article  CAS  Google Scholar 

  4. Hoddy DM, Barton LL. Puncture wound-induced Achromobacter xylosoxidans osteomyelitis of the foot. Am J Dis Child. 1991;145:599–600.

    PubMed  CAS  Google Scholar 

  5. Dubey L, Krasinski K, Hernanz-Schulman M. Osteomyelitis secondary to trauma or infected contiguous soft tissue. Pediatr Infect Dis J. 1988;7:26–34.

    PubMed  Article  CAS  Google Scholar 

  6. Stark JJ. Alcaligenes xylosoxidans osteomyelitis without trauma in a patient with Good’s syndrome. Eur J Intern Med. 2007;18:447.

    PubMed  Article  Google Scholar 

  7. Duggan JM, Goldstein SJ, Chenoweth CE, Kauffman CA, Bradley SF. Achromobacter xylosoxidans bacteremia: report of four cases and review of the literature. Clin Infect Dis. 1996;23:569–76.

    PubMed  Article  CAS  Google Scholar 

  8. Igra-Siegman Y, Chmel H, Cobbs C. Clinical and laboratory characteristics of Achromobacter xylosoxidans infection. J Clin Microbiol. 1980;11:141–5.

    PubMed  CAS  Google Scholar 

  9. Ahmed MS, Nistal C, Jayan R, Kuduvalli M, Anijeet HK. Achromobacter xylosoxidans, an emerging pathogen in catheter-related infection in dialysis population causing prosthetic valve endocarditis: a case report and review of literature. Clin Nephrol. 2009;71:350–4.

    PubMed  CAS  Google Scholar 

  10. Spear JB, Fuhrer J, Kirby BD. Achromobacter xylosoxidans bacteremia associated with a well-water source: case report and review of the literature. J Clin Microbiol. 1988;26:598–9.

    PubMed  CAS  Google Scholar 

  11. Puthucheary SD, Ngeow YF. Infections with Achromobacter xylosoxidans. Singapore Med J. 1986;27:58–62.

    PubMed  CAS  Google Scholar 

  12. Aisenberg G, Rolston KV, Safdar A. Bacteremia caused by Achromobacter and Alcaligenes species in 46 patients with cancer (1989–2003). Cancer. 2004;101:2134–40.

    PubMed  Article  Google Scholar 

Download references

Author information

Authors and Affiliations


Corresponding author

Correspondence to Kadri Ozer.

About this article

Cite this article

Ozer, K., Kankaya, Y., Baris, R. et al. Calcaneal osteomyelitis due to Achromobacter xylosoxidans: a case report. J Infect Chemother 18, 915–918 (2012).

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI:


  • Achromobacter xylosoxidans
  • Calcaneal osteomyelitis
  • Free flap