Abstract

n engl j med 358;26 www.nejm.org june 26, 2008 2847 As mentioned by Myrianthefs et al. and Lima et al., acinetobacter can manifest as wound infections. As we noted, in one series of patients affected by a natural disaster, 20% of wounds were infected with acinetobacter; acinetobacter was also a common cause of infected wounds in the battlefield and burn injuries. Our experience in the greater Chicago area is that acinetobacter detected in wounds more frequently tends to be a contaminant than an actual pathogen. Nevertheless, in the majority of settings, the most common presentations are respiratory, urinary, and blood infections. L. Silvia Munoz-Price, M.D.

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