Stenotrophomonas maltophilia: An Emerging Pathogen of the Respiratory Tract
| Autor: | Anna Yumen, Qurat Mansoora, Saketram Komanduri, Tejaswi Kanderi, Isha Shrimanker, Kajol Shah |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Stenotrophomonas maltophilia 030204 cardiovascular system & hematology medicine.disease_cause 03 medical and health sciences 0302 clinical medicine Antibiotic resistance Levofloxacin Internal medicine medicine biology Pseudomonas aeruginosa business.industry Sulfamethoxazole Articles Pneumonia General Medicine Antibiotic Prophylaxis medicine.disease biology.organism_classification Trimethoprim 030220 oncology & carcinogenesis Stenotrophomonas Urinary Catheterization business medicine.drug |
| Zdroj: | The American Journal of Case Reports |
| ISSN: | 1941-5923 |
| Popis: | Patient: Female, 70-year-old Final Diagnosis: Stenotrophomonas maltophilia Symptoms: Difficult to breath, patient could not wean from oxygen/premature Medication: — Clinical Procedure: — Specialty: General and Internal Medicine Objective: Rare disease Background: Stenotrophomonas maltophilia has the propensity to cause a plethora of opportunistic infections in humans owing to biofilm formation and antibiotic resistance. It is often seen as a co-organism along with Pseudomonas aeruginosa. Case Report: A 70-year-old woman with several co-morbidities presented reporting hypoglycemia and dyspnea. An imaging study of the chest was suggestive of deterioration of pneumonia, with increased opacities. Initial respiratory cultures were negative, while subsequent repeat cultures revealed the growth of Stenotrophomonas maltophilia susceptible to trimethoprim plus sulfamethoxazole and levofloxacin. The patient had a poor prognosis and eventually died despite appropriate measures. Conclusions: A decline in the clinical status of a patient such as ours makes it hard to quickly diagnose this organism correctly. Physicians should thus be cautious of Stenotrophomonas maltophilia-induced infection and more emphasis should be placed on appropriate treatment due to the emerging risk of antibiotic resistance. |
| Databáze: | OpenAIRE |
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