Title : Acinetobacter junii bacteremia associated with cellulitis in a patient receiving chronic hemodialysis: A rare opportunistic bloodstream infection
Abstract:
Acinetobacter junii is a rarely reported cause of human infection. We report a case of A. junii bacteremia in a 79-year-old man with end-stage renal disease on hemodialysis who presented with lower extremity cellulitis and sepsis. Blood cultures obtained prior to antibiotic administration confirmed A. junii bacteremia. The patient was treated with ceftazidime and vancomycin based on susceptibility testing, administered after hemodialysis sessions to maintain adequate pharmacokinetic exposure. Repeat blood cultures demonstrated microbiological clearance and the patient achieved clinical recovery. A.junii is a rare but clinically significant opportunistic pathogen. This case demonstrates the importance of dialysis-adjusted antimicrobial therapy in managing rare bloodstream infections for ESRD patients.

