Necrotizing Pancreatitis Infected with Stenotrophomonas maltophilia: An Emerging Rare Multidrug-Resistant Organism

Autor: Dar, Sophia, Merza, Nooraldin, Haider, Maryam, Zafar, Yousaf, Din, Noren, Ligresti, Rosario, Sebti, Rani
Jazyk: angličtina
Rok vydání: 2023
Zdroj: Case Reports in Gastrointestinal Medicine.
ISSN: 2090-6528
DOI: 10.1155/2023/8071158
Popis: Stenotrophomonas maltophilia (SM) is a multidrug-resistant, Gram-negative (GN) bacillus that is an increasingly recognized nosocomial and environment pathogen. It is intrinsically resistant to carbapenems, a drug commonly utilized in the management of necrotizing pancreatitis (NP). We report a 21-year-old immunocompetent female with NP complicated by pancreatic fluid collection (PFC) infected with SM. One-third of patients with NP will develop infections by GN bacteria, while broad-spectrum antibiotics, including carbapenems, cover most infections, trimethoprim-sulfamethoxazole (TMP-SMX) is the first-line treatment antibiotic for SM. This case is critical because it highlights a rare pathogen that should be considered a causal pathogen in patients who do not respond to their care plan.
Databáze: OpenAIRE
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