2017
DOI: 10.1136/bcr-2017-221053
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Stenotrophomonas maltophilia: an emerging multidrug-resistant opportunistic pathogen in the immunocompromised host

Abstract: is a multidrug-resistant opportunistic pathogen with increasing prevalence and high morbidity and mortality. In addition to its classic association with pulmonary infections, can cause skin and soft tissue infections with varying clinical presentations. We describe the case of a man in his 30s with B-cell acute lymphoblastic leukaemia who presented with a solitary patch of faint but tender purpura found to have rapidly progressive infection diagnosed on skin biopsy. infection should be considered in the cutane… Show more

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Cited by 14 publications
(19 citation statements)
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“…Notably, some microbial markers in HNSCC patients which positively correlated with HPB-releasing adduct levels, have been previously characterized as pathogenic, xenobiotic degrader and/or multidrug resistant taxa. For instance, Stenotrophomonas is reported to be a nosocomial pathogen, particularly associated with immunosuppressed individuals, and resistance to a broad range of antibiotics [37][38][39]. This observation is in line with our findings of increased abundance of predicted polymyxin resistance in cases, correlated with abundances of this taxon.…”
Section: Discussionsupporting
confidence: 90%
“…Notably, some microbial markers in HNSCC patients which positively correlated with HPB-releasing adduct levels, have been previously characterized as pathogenic, xenobiotic degrader and/or multidrug resistant taxa. For instance, Stenotrophomonas is reported to be a nosocomial pathogen, particularly associated with immunosuppressed individuals, and resistance to a broad range of antibiotics [37][38][39]. This observation is in line with our findings of increased abundance of predicted polymyxin resistance in cases, correlated with abundances of this taxon.…”
Section: Discussionsupporting
confidence: 90%
“…According to the collected data, the cells which were transformed by the plasmids of multi-drug resistant strain P. aeruginosa 5249, containing blaOXA10 ÎČlactamase gene blaOXA10, pCAT639 and ATP-dependent aminoglycoside Оphosphotransferase gene aph (3') VI, were sensitive to Stp and Cam. It is caused by the plasmid localization of genes blaOXA10 and aph (3') VI and chromosomal localization of pCAT639 [30,31].…”
Section: Discussionmentioning
confidence: 99%
“…Stenotrophomonas maltophilia is a non-fermentative Gram-negative bacillus that can be transmitted by nosocomial sources including contaminated disinfectants, intravenous fluids, hospital water, catheters, central venous and arterial pressure monitors, dialysis equipment, blood gas analyzers, ventilation circuits, thermometers, and intra-aortic balloon pumps [ 1 , 2 ]. Although S. maltophilia is known to colonize the skin, gastrointestinal tract, and respiratory tract, S. maltophilia can cause opportunistic infections, including bacteremia, pulmonary infections, urinary tract infections, and skin and soft tissue infections (SSTI), in immunocompromised hosts [ 3 , 4 ].…”
Section: Introductionmentioning
confidence: 99%