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Liver abscess caused by multidrug-resistant pathogen Stenotrophomonas maltophilia: A rare case report
1Department of Microbiology, King George's Medical University, Lucknow, Uttar Pradesh, India.
Abstract:
Intra-abdominal infections are often implicated in the causation of liver abscesses, and the transmission occurs via the vascular route. We report a rare case of abscess of the liver, Stenotrophomonas maltophilia being the etiological agent, in a 25-year-old female residing in Lucknow, India. S. maltophilia is a common nosocomial pathogen responsible for causing pneumonia, bacteremia, meningitis, endocarditis, gastrointestinal, ocular, skin, soft tissue, bone, joint, urinary tract infections, and even septic shock, especially in intensive care units. However, very few case reports are from India and globally, highlighting it as a pathogen in a liver abscess case. Hence this study is relevant in the context of providing case details that can help clinicians and microbiologists to suspect and diagnose more such cases that might be missing in history.
Insights
This case report details a rare liver abscess caused by Stenotrophomonas maltophilia in India. Early diagnosis is crucial for managing this uncommon pathogen in liver infections.
Area of Science:
- Microbiology
- Infectious Diseases
- Hepatology
Background:
- Intra-abdominal infections frequently lead to liver abscesses, typically through vascular transmission.
- Stenotrophomonas maltophilia is a recognized nosocomial pathogen causing diverse infections, including pneumonia, bacteremia, and urinary tract infections.
Observation:
- A rare case of liver abscess attributed to Stenotrophomonas maltophilia infection is presented.
- The patient was a 25-year-old female residing in Lucknow, India.
Findings:
- This report highlights a seldom-documented cause of liver abscess, particularly in the Indian subcontinent.
- Stenotrophomonas maltophilia, while common in intensive care units, is rarely identified as the causative agent of liver abscesses.
Implications:
- This case underscores the importance of considering Stenotrophomonas maltophilia in the differential diagnosis of liver abscesses, especially in endemic regions.
- Clinicians and microbiologists can utilize these findings to improve the diagnosis and management of similar rare cases.
- Further research into the epidemiology and treatment of Stenotrophomonas maltophilia liver abscesses is warranted.
