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CASE REPORT
Year : 2017  |  Volume : 5  |  Issue : 1  |  Page : 51-55

First reported case of Alcaligenes faecalis isolated from bronchoalveolar lavage in a patient with dengue hemorrhagic fever


1 Department of Internal Medicine, Narayana Multispeciality Hospital, Jaipur, Rajasthan, India
2 Department of Laboratory Medicine, Narayana Multispeciality Hospital, Jaipur, Rajasthan, India
3 Department of Critical Care Medicine, Narayana Multispeciality Hospital, Jaipur, Rajasthan, India
4 Department of Microbiology, Santokba Durlabhji Memorial Hospital, Jaipur, Rajasthan, India
5 Department of Radiodiagnosis, Malviya Nagar Clinic and Sonography Centre, Jaipur, Rajasthan, India

Correspondence Address:
Dr. Arun Agarwal
Department of Internal Medicine, Narayana Multispeciality Hospital, Jaipur, Rajasthan
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2320-8775.177512

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Bacterial co-infections have been reported in association with dengue fever (DF) and can exacerbate dengue infections. However, DF with acute respiratory distress syndrome and co-infection with Alcaligenes faecalis (A. faecalis) has not been reported earlier. Most infections caused by A. faecalis are opportunistic. Urinary tract infection, bacterial keratitis, postoperative endophthalmitis, skin and soft tissue infections, bacteremia, meningitis, wound infections, and peritonitis in patients undergoing peritoneal dialysis have been described in association with A. faecalis. A. faecalis, a Gram-negative environmental organism rarely cause significant infections. Treatment can be difficult in some cases due to the high level of resistance to commonly used antibiotics. We report a case of fatal bronchopneumonia caused by extensively drug resistance A. faecalis in a patient of dengue hemorrhagic fever.


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