Acinetobacter mediastinitis and pneumonia in a thorotrastoma patient

Abstract
A case of bilateral pneumonia, mediastinitis and septicaemia caused byAcinetobacter calcoaceticus andCandida albicans is described. The infections occurred after a palliative operation for an esophagotracheal fistula in a thorotrastoma patient. The oropharynx was colonized by the two microorganisms at admission and is presented as the source of these infections. Clinical management and antimicrobial policy, including oropharyngeal decontamination, leading to a good outcome are reported.