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Achromobacter xylosoxidans (A. xylosoxidans)  is an opportunistic pathogen that is responsible for various nosocomial and community-acquired infections. It is often found in patients with cystic fibrosis or chronic lung diseases. Here, a 70-year-old female patient presented to an emergency department with complaints of diffuse abdominal pain and distension, on and off giddiness, and generalized body pain for one month with a known case of diabetes and hypertension. The patient had no history of nausea, vomiting, constipation/loose stools, or fever at the time of arrival. Then, the patient was admitted with a provisional diagnosis of incisional hernia. However, the patient developed a fever after she had undergone surgery for an incisional hernia. The blood culture reveals the growth of A. xylosoxidans.  The patient responded well to treatment with intravenous antibiotics piperacillin/tazobactam and meropenem for five days. The literature on bacteremia caused by  A. xylosoxidans  in incisional hernia patients is reviewed in this study, along with the distinct antimicrobial susceptibility pattern., Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work., (Copyright © 2024, Dhakshna Murthi et al.)