Acral necrosis by Stenotrophomonas maltophilia

Pereira, Olga; Velho, Glória; Mota, Fernando; Santos, Claudinei Alves dos; Massa, António Fernandes

doi:10.1046/j.1468-3083.2001.00273.x

Cited by 2 publications

(1 citation statement)

References 17 publications

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“…25,87 The most remarkable type of soft tissue infection due to S. maltophilia is the metastatic involvement in immunosuppressed bacteremic patients as already described, manifesting as multiple nodular lesions surrounded by violaceous erythema, or as ecthyma gangrenosum. 83,86,88,89 Other unusual skin and soft tissue manifestations have been described, including acral necrosis of a finger in an apparently immunocompetent patient who was later diagnosed with leukemia, 90 and bilateral distal acrocyanosis and severe cellulitis evolving into necrosis in a patient with protein S deficiency. 91 Urinary Tract Infection S. maltophilia represented 0.2% of the urinary isolates in the SENTRY Surveillance Program (1997-1999).…”

Section: Bacteremiamentioning

confidence: 99%

Stenotrophomonas MaltophiliaInfections

Dignani¹,

Grazziutti²,

Anaissie³

2003

Seminars in Respiratory and Critical Care Medicine

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Stenotrophomonas maltophilia is a ubiquitous, gram-negative organism that causes hospital-acquired infections. Persons often come in contact with S. maltophilia through environmental water sources, including hospital tap water or faucets, and it has been associated with nosocomial outbreaks of infection. S. maltophilia often infects debilitated persons and those with underlying medical conditions, including immunosuppression. Manifestations of infection include pneumonia, often in mechanically ventilated patients, bacteremia, skin and soft tissue infection, urinary tract infection, and endocarditis. Treatment of S. maltophilia infection is difficult because the organism is resistant to a number of agents typically used for hospital-acquired infections. In vitro and clinical data indicate that trimethoprim-sulfamethoxazole is the agent of choice. Beta-lactamase inhibitors such as clavulanate are also active, and combination therapy may be indicated for certain serious infections due to S. maltophilia.

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Section: Bacteremiamentioning

confidence: 99%

Stenotrophomonas MaltophiliaInfections

Dignani¹,

Grazziutti²,

Anaissie³

2003

Seminars in Respiratory and Critical Care Medicine

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Necrotizing fasciitis of the abdominal wall with lethal outcome: a case report

Huljev

2006

Hernia

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Necrotizing fasciitis is an acute surgical condition that demands prompt and multi-faceted treatment. Early recognition, aggressive surgical debridement, and targeted antibiotic therapy significantly affect the overall course of treatment and survival. The author reports here the case of a woman with necrotizing fasciitis of the abdominal wall and the course and methods of treatment. Two comorbidity factors (extreme obesity, diabetes) and the late diagnosis of necrotizing fasciitis, the latter masked by celullitis and phlegmona of the abdominal wall, resulted in overdue adequate surgical treatment. The combination of these factors contributed to medical treatment failure and, consequently, a lethal outcome.

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Acral necrosis by Stenotrophomonas maltophilia

Cited by 2 publications

References 17 publications

Stenotrophomonas MaltophiliaInfections

Stenotrophomonas MaltophiliaInfections

Necrotizing fasciitis of the abdominal wall with lethal outcome: a case report

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