Stenotrophomonas maltophilia: An uncommon cause of liver abscess
| Autor: | Rashmi Ranjan Mohanty, Srujana Mohanty, Shehnaz Firdaus |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Stenotrophomonas maltophilia 030106 microbiology Case Report Infectious and parasitic diseases RC109-216 Hepatic abscess Chest pain 03 medical and health sciences Emerging pathogen 0302 clinical medicine Levofloxacin Internal medicine medicine 030212 general & internal medicine Abscess Pyogenic liver abscess biology business.industry Pigtail catheter medicine.disease biology.organism_classification bacterial infections and mycoses Liver abscess Infectious Diseases medicine.symptom business medicine.drug |
| Zdroj: | IDCases, Vol 24, Iss, Pp e01125-(2021) IDCases |
| ISSN: | 2214-2509 |
| Popis: | We report an uncommon case of pyogenic liver abscess due to Stenotrophomonas maltophilia in an apparently immune-competent individual, the timely recognition of which could avoid a potentially fatal course of infection in the patient. A 45-year-old man, with history of moderate alcohol intake since the last 10 years, was admitted with intense right-sided upper abdominal pain and right-sided chest pain of 10-days duration. Culture of the ultrasound-guided liver aspirate sample yielded a pure growth of S. maltophilia identified by the VITEK-2™ automated microbial identification system. Treatment with parenteral levofloxacin and oral trimethoprim-sulfamethoxazole along with pigtail catheter drainage and other appropriate supportive management led to resolution of the abscess with no recurrence of infection at two months follow-up. Physicians need to be aware that S. maltophilia infections may not be restricted to hospitalized patients as a low-virulence opportunistic pathogen, but may occur as an important emerging pathogen in community-acquired infections as well. |
| Databáze: | OpenAIRE |
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