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Stenotrophomonas maltophilia: a serious and rare complication in patients suffering from burns
Maria Dalamaga1, Konstantinos Karmaniolas, Charilaos Chavelas
1Department of Internal Medicine, NIMTS General Hospital, Athens, Greece. dalamaga-chavelas@ath.forthnet.gr
Abstract:
Stenotrophomonas maltophilia is rarely implicated in clinical infections but it constitutes a significant nosocomial pathogen, especially in immunocompromised patients. This report describes the first case of a generalised infection caused by S. maltophilia that included bacteremia, wound and respiratory tract infection in a patient suffering from burns. Given the emergence of S. maltophilia nosocomial infections, especially in patients with burns, isolation of the bacterium from blood cultures should prompt the commencement of adequate antibiotic treatment.
Insights
Stenotrophomonas maltophilia is a significant nosocomial pathogen, particularly in immunocompromised individuals. This case highlights a severe, generalized infection in a burn patient, emphasizing the need for prompt antibiotic treatment.
Area of Science:
- Medical Microbiology
- Infectious Diseases
- Burn Care
Background:
- Stenotrophomonas maltophilia is an opportunistic pathogen frequently associated with healthcare-associated infections.
- While rarely causing severe infections, it poses a significant threat to immunocompromised patients.
Observation:
- This report details a rare case of generalized Stenotrophomonas maltophilia infection.
- The infection encompassed bacteremia, wound infection, and respiratory tract infection in a burn patient.
Findings:
- This is the first reported instance of a generalized S. maltophilia infection in a burn victim.
- The bacterium was isolated from blood cultures, wound, and respiratory samples.
Implications:
- The emergence of S. maltophilia as a nosocomial pathogen, especially in burn patients, requires heightened clinical awareness.
- Blood culture isolation of S. maltophilia necessitates immediate and appropriate antibiotic therapy to manage severe infections.
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