Species of
Alcaligenes typically occur in soil and water or decaying materials and dairy products.
A. faecalis is commonly found in the intestinal tracts of vertebrates, and is found as a harmless saprophyte in 5% – 19% of the human population. Infections from
Alcaligenes species are uncommon and largely opportunistic.
A. faecalis is a known causing agent of nosocomial
bacterial sepsis in immunocompromised patients by contaminated hemodialysis or intravenous fluid.
enteric fever,
appendicitis,
cystitis,
chronic suppurative otitis media,
abscesses,
arthritis,
pneumonitis and
endocarditis associated with
Alcaligenes have been reported, including a
zoonotic infection from
ferrets. though the most commonly identified strain
A. cylosoxidans has since been transferred to
Achromobacter.
A. faecalis infections can pose a challenge due to considerable resistance to commonly used antibiotics. The resistance is driven by the production of β-lactamases (such as OXA-10 and PER-1), efflux pumps like the AcrAB-TolC system, and mutations in the
gyrA and
parC genes, which decrease fluoroquinolone effectiveness. The bacterium also forms biofilms on medical devices, providing protection against both antibiotics and the host immune system. In recent years, extensively drug-resistant (XDR) strains have emerged, showing very limited susceptibility to most available antibiotics. ==References==