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Community-acquired Xanthomonas maltophilia pyelonephritis
1Department of Internal Medicine, University of Illinois College of Medicine, Urbana.
Southern Medical Journal
|August 1, 1993
Summary
Community-acquired urinary tract infections (UTIs) can be caused by nosocomial pathogens like X maltophilia. Chronic bladder catheterization is a risk factor for recurrent infections, potentially allowing these pathogens to emerge.
Area of Science:
- Infectious Diseases
- Urology
- Medical Microbiology
Background:
- Urinary tract infections (UTIs) are common, often caused by typical uropathogens.
- Nosocomial pathogens, typically associated with hospital settings, can cause community-acquired infections.
- Stenotrophomonas maltophilia is a Gram-negative bacterium often found in hospital environments.
Observation:
- A case of community-acquired UTI caused by Stenotrophomonas maltophilia is presented.
- The patient had a history of chronic bladder catheterization and recurrent UTIs.
- The patient had no recent hospitalization or antibiotic therapy prior to symptom onset.
Findings:
- Chronic bladder catheterization, even in an outpatient setting, can be a risk factor for infection with nosocomial pathogens.
- Recurrent infections associated with catheterization may create an environment for the emergence of less common UTI pathogens.
- This case highlights an unusual presentation of Stenotrophomonas maltophilia UTI.
Implications:
- Healthcare providers should consider Stenotrophomonas maltophilia in community-acquired UTIs, especially in patients with chronic indwelling devices.
- Chronic catheterization requires careful management to prevent recurrent infections and the emergence of resistant or unusual pathogens.
- Further research is needed to understand the epidemiology and management of community-acquired nosocomial pathogen UTIs.