Severe Cellulitis/Myositis Caused by<i>Stenotrophomonas Maltophilia</i>

Downhour, Nathan P; Petersen, Eskild A.; Krueger, Todd S; Tangella, Krishnarao; Nix, David E.

doi:10.1345/aph.1a148

Cited by 22 publications

(14 citation statements)

References 22 publications

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“…3,4 Infection with this pathogen commonly manifests as bacteremia, [1][2][3][4][5][6][7][8][9][10] although it can cause a wide spectrum of other infections as well. [11][12][13][14][15][16][17][18][19][20][21] Several studies have identified major risk factors for the infection, including neutropenia, prolonged hospitalization, previous antibiotic use, steroid use, mechanical ventilator support, and the use of medical devices such as prosthetic heart valves, urinary catheters, and indwelling central venous catheters (CVCs). [1][2][3][4][5][6][7][8][9][10]17,18 However, to our knowledge very little information is available regarding how often CVCs are the source of the bacteremia.…”

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confidence: 99%

Central venous catheter and Stenotrophomonas maltophilia bacteremia in cancer patients

Boktour

Hanna

Ansari

et al. 2006

Cancer

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There is no instrument to measure severity of sickle cell disease (SCD) in pediatric patients that is generally accepted. The aim of this study was to develop and validate a severity index for SCD in children. We developed an index consisting of 12 items and tested its validity of the index using data from 92 children. We tested whether different scores were obtained for patients classified by severity both subjectively and objectively by a partially validated existing index. Furthermore, we tested whether the index could differentiate patients classified according to genotype or the number of α‐gene deletions and evaluated whether the score on the index was correlated with the average number and days of hospitalizations/year, age and a risk of death score. We explored the effect of three different weighting systems (Score A, B, and C) to summarize these items. All weightings demonstrated a significant difference between the scores of mild, moderate, and severely affected patients, as classified by a subjective rating or with an existing index (P < 0.01). The index clearly differentiated patients by genotype (P < 0.01) or α‐gene deletions (P < 0.01). The correlation with hospitalization was moderate. Age and the risk of death score were weakly associated with the pediatric severity index for SCD. This is the first pediatric SCD severity index that was developed and validated using modern clinimetric methodology. The validity and reliability of this index should be further evaluated in a prospective study including a larger cohort, preferably diagnosed at birth. Am. J. Hematol., 2010. © 2010 Wiley‐Liss, Inc.

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confidence: 99%

Central venous catheter and Stenotrophomonas maltophilia bacteremia in cancer patients

Boktour

Hanna

Ansari

et al. 2006

Cancer

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“…The second patient who had myalgias and fever for 10 days before visiting the authors’ hospital had pyomyositis and received piperacillin–tazobactam and surgical drainage . The last patient receiving BMT experienced pyomyositis in the left soleus muscle before myeloid engraftment . Although he had resection of the soleus muscle two days after the onset of pyomyositis, no collection of pus or fluid was observed.…”

Section: Discussionmentioning

confidence: 97%

“…Stenotrophomonas maltophilia associated with pyomyositis in our case was treated by medical treatment without surgical drainage. However, all three reported cases with S. maltophilia pyomyositis received surgical drainage or resection . The first patient experienced bacteremia and pyomyositis due to S. maltophilia during neutropenia after chemotherapy for myelodysplastic syndrome.…”

Section: Discussionmentioning

confidence: 99%

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Central venous catheter‐related blood stream infection with pyomyositis due to Stenotrophomonas maltophilia after allogeneic bone marrow transplantation in a patient with aplastic anemia

Kodama

Okamoto

Tanabe

et al. 2016

Pediatric Transplantation

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Stenotrophomonas maltophilia causes pneumonia and CVC-CRBSI in HSCT. However, there are few reports of pyomyositis due to S. maltophilia. We report a patient with CRBSI and pyomyositis due to S. maltophilia after allogeneic HSCT who was successfully treated by removing the CVC and antibiotics without surgical drainage. Removing the CVC and the combined antibiotics without preventing the neutrophil engraftment could avoid surgical drainage in pyomyositis due to S. maltophilia when detected in an early stage.

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“…Besides peritonitis,2 S. maltophilia has been reported to cause a variety of infections9–16 listed in Table II. Although S. maltophilia infection is rare in patients receiving peritoneal dialysis, 23 cases have been reported so far.…”

Section: Discussionmentioning

confidence: 99%

Stenotrophomonas maltophilia bacteremia in end‐stage renal disease patients receiving maintenance hemodialysis

Gnanasekaran

Bajaj

2009

Dialysis & Transplantation

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Stenotrophomonas maltophilia is typically a low‐virulence gram‐negative bacterium but can become pathogenic in patients in immunocompromised states and can cause nosocomial infections in the presence of invasive medical devices such as central venous catheters, peritoneal catheters, endotracheal/tracheostomy tubes, and urinary catheters, resulting in a variety of infections. End‐stage renal disease patients are immunocompromised, and S. maltophilia bacteremia has been reported in patients receiving peritoneal dialysis via peritoneal catheters. A significant number of patients receive hemodialysis via central venous catheters, which present a high risk for S. maltophilia infection, but to our knowledge, no case has been reported.

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Severe Cellulitis/Myositis Caused byStenotrophomonas Maltophilia

Cited by 22 publications

References 22 publications

Central venous catheter and Stenotrophomonas maltophilia bacteremia in cancer patients

Central venous catheter and Stenotrophomonas maltophilia bacteremia in cancer patients

Central venous catheter‐related blood stream infection with pyomyositis due to Stenotrophomonas maltophilia after allogeneic bone marrow transplantation in a patient with aplastic anemia

Stenotrophomonas maltophilia bacteremia in end‐stage renal disease patients receiving maintenance hemodialysis

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