Unusual case of rapid growing intraabdominal abscess caused by Stenotrophomonas maltophilia after laparoscopic appendectomy due to perforated appendicitis

Lim, Dong-Jin; Kuk, Jung Cheol; Kim, Tae-Hyung

doi:10.1097/md.0000000000006913

Cited by 4 publications

(7 citation statements)

References 10 publications

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“…He was treated with percutaneous drainage and 2 weeks of SXT and recovered. 13 All three cases of S. maltophilia intra-abdominal abscesses, including our case, occurred after abdominal surgery. Therefore, abdominal surgery may be a risk factor for intra-abdominal abscesses caused by S. maltophilia.…”

Section: Discussionmentioning

confidence: 60%

“…A search of the PubMed database on July 16, 2023, yielded only two case reports on S. maltophilia-induced intraabdominal abscesses published in English, one from Japan and one from Korea (Table 1). 12,13 One patient was a 68-year-old woman who developed an intra-abdominal abscess caused by S. maltophilia 10 days after a resection of the transverse colon for colon cancer and partial resection of the left kidney for renal carcinoma. 12 She was treated with intravenous MINO for 2 weeks and oral LVFX for 2 weeks in addition to drainage of the abscess, which resulted in complete resolution.…”

Section: Discussionmentioning

confidence: 99%

“…The route of S. maltophilia infection was also unclear in the two previous case reports. 12,13 The incidence of SSI varies from 5% to 30%, depending on the operative site and wound classification. 33 This patient had risk factors for SSI such as prolonged operation time, diabetes, higher age, and use of immunosuppressive drugs.…”

Section: Discussionmentioning

confidence: 99%

“…10,11 Intra-abdominal abscesses caused by S. maltophilia have rarely been reported. 12,13 In addition, organ/space surgical site infections (SSI) after total gastrectomy are typically caused by aerobes and anaerobes, such as Streptococcus spp., Enterobacteriaceae, and Prevotella spp., which are found in the flora colonizing the oral cavity and stomach, and isolation of S. maltophilia is rare. 14 Given the rarity of intra-abdominal abscesses due to S. maltophilia, it is not possible to conduct large studies, and case reports are the primary source of knowledge about this condition.…”

Section: Introductionmentioning

confidence: 99%

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Intra-Abdominal Abscess and Bacteremia Due to Stenotrophomonas maltophilia After Total Gastrectomy: A Case Report and Literature Review

Hirai,

Mori,

Sakanashi

et al. 2023

IDR

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Stenotrophomonas maltophilia (S. maltophilia) is increasingly recognized as a pathogen responsible for nosocomial infections, particularly in immunocompromised patients. The most common types of S. maltophilia infections are pneumonia and catheter-related bloodstream infection, and clinical cases of intra-abdominal abscesses due to S. maltophilia are rare. We present a rare case of intra-abdominal abscess and bacteremia as a surgical site infection (SSI) caused by S. maltophilia in a patient following total gastrectomy. We also reviewed previous literature to elucidate the clinical characteristics of intra-abdominal abscess due to S. maltophilia. The patient, a 75-year-old man with diabetes and polymyositis (treated with prednisolone), developed a fever 17 days after undergoing a total gastrectomy for gastric cancer. Abdominal computed tomography revealed a hypodense solid mass at the esophagojejunostomy site, which appeared to be an intra-abdominal abscess. The culture of both blood and drained abscess pus confirmed only S. maltophilia. Treatment with intravenous trimethoprim-sulfamethoxazole and abscess drainage led to complete resolution. The patient recovered and was discharged and did not experience a recurrence. We reviewed the English literature and found only two additional case reports of intra-abdominal abscesses caused by S. maltophilia. As in our case, the intra-abdominal abscess occurred after abdominal surgery and the source was suspected to be deep SSI. This case highlights the importance of considering S. maltophilia as a potential pathogen in patients with atypical post-surgical abdominal infections. Physicians should be aware that S. maltophilia has the potential to cause intra-abdominal abscesses secondary to SSI, in addition to Enterobacteriaceae, a major causative pathogen of SSI. Further studies are required to elucidate the etiology, epidemiology, and risk factors for SSI caused by S. maltophilia.

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Section: Discussionmentioning

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Intra-Abdominal Abscess and Bacteremia Due to Stenotrophomonas maltophilia After Total Gastrectomy: A Case Report and Literature Review

Hirai,

Mori,

Sakanashi

et al. 2023

IDR

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“…Submitted: 06-08-2017 Revised: 27-08-2017 Published: 01-11-2017 meningitis, skin lesions, intra-abdominal abscess, elbow infection, pneumonia, otitis externa, dacryocystitis and keratitis. [2][3][4][5][6][7][8][9][10] However, in most of these cases, the patients had undergone a procedure or had an immunecompromised state. Our patient was immunecompetent and had no history of interventional procedures or implants.…”

Section: E T T E R T O T H E E D I T O R Asian Journal Of Medical Smentioning

confidence: 99%

Stenotrophomonas maltophilia: an unusual pathogen for pneumonia in an immunocompetent patient

Manappallil

Sabir

2017

Asian J Med Sci

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meningitis, skin lesions, intra-abdominal abscess, elbow infection, pneumonia, otitis externa, dacryocystitis and keratitis.2-10 However, in most of these cases, the patients had undergone a procedure or had an immunecompromised state. Our patient was immunecompetent and had no history of interventional procedures or implants. This case, therefore, highlights the emergence of Stenotrophomonas maltophila as a pathogen for pneumonia in immunecompetent patients, and its consideration in patients not responding to broad spectrum antibiotics.

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Severe hepatic abscess: Conservative treatment of multi-organ infection by Stenotrophomonas maltophilia. A case report

Inviati¹,

Pellegrino²,

Schifano³

2018

Annals of Medicine and Surgery

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IntroductionStenotrophomonas Malthophilia (SM) is generally considered a nosocomial pathogen but it has also been reported as a cause of community-acquired systemic infection. We reported a rare case of SM multi-organ infection involving the liver and the left ocular region.Presentation of the caseA 64 years old man presented with fever for 4 days and acute blindness of the left eye. We performed an abdomen and head CT scan that identified respectively a liver lesion in central region, likely a hepatic abscess, and inflammation process involving the left eye. After 5 days of antibiotic therapy, no improvement of the clinical condition was noted. A CT guided drainage of the hepatic abscess was performed. SM was identified in the content of the drain and selected antibiotic therapy with combination of tygecycline and TMP-SMX was immediately initiated.After 15 days of the selected therapy, the hepatic abscess and the left eye infection were completely resolved but unfortunately the patient reported permanent blindness.DiscussionSeveral studies identified most of the SM infections as nosocomial, however that can be excluded in this case because the patient presented signs of severe systemic infection 72 h before the hospitalization. The conservative treatment, with a combination of CT guided drainage and selected antibiotic therapy, gave good results.ConclusionAlthough SM is thought to be a nosocomial pathogen, it can be involved in severe systemic sepsis affecting different organs outside the hospital setting. Fortunately, the combination of tigecycline with TMP-SMX seems to be the best therapeutic option.

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Unusual case of rapid growing intraabdominal abscess caused by Stenotrophomonas maltophilia after laparoscopic appendectomy due to perforated appendicitis

Cited by 4 publications

References 10 publications

Intra-Abdominal Abscess and Bacteremia Due to Stenotrophomonas maltophilia After Total Gastrectomy: A Case Report and Literature Review

Intra-Abdominal Abscess and Bacteremia Due to Stenotrophomonas maltophilia After Total Gastrectomy: A Case Report and Literature Review

Stenotrophomonas maltophilia: an unusual pathogen for pneumonia in an immunocompetent patient

Severe hepatic abscess: Conservative treatment of multi-organ infection by Stenotrophomonas maltophilia. A case report

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