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Treatment refractory Stenotrophomonas maltophilia bacteraemia and pneumonia in a COVID-19-positive patient.
Pek, Zachary; Cabanilla, Maria Gabriela; Ahmed, Shozab.
  • Pek Z; Internal Medicine, University of New Mexico Health Sciences Center, Albuquerque, New Mexico, USA zachary.pek@gmail.com.
  • Cabanilla MG; Infectious Diseases, University of New Mexico, Albuquerque, New Mexico, USA.
  • Ahmed S; Pulmonary and Critical Care, University of New Mexico, Albuquerque, New Mexico, USA.
BMJ Case Rep ; 14(6)2021 Jun 17.
Article in English | MEDLINE | ID: covidwho-1276912
ABSTRACT
Stenotrophomonas maltophilia is an opportunistic pathogen that most often infects patients requiring mechanical ventilation, indwelling central venous catheters and broad-spectrum antibiotics. The reported incidence of S. maltophilia infection has increased over the past two decades, and many of its risk factors are commonly seen in patients with severe COVID-19 infection. Our case regards a patient with severe COVID-19 pneumonia, who subsequently developed disseminated S. maltophilia infection, refractory to first-line treatment and optimal medical management. This case highlights the high index of suspicion required for diagnosing secondary complications in patients with COVID-19 infection and highlights the difficulty in treating disseminated S. maltophilia infection in critically ill patients.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia / Gram-Negative Bacterial Infections / Stenotrophomonas maltophilia / COVID-19 Type of study: Case report / Diagnostic study / Observational study / Prognostic study Topics: Long Covid Limits: Humans Language: English Year: 2021 Document Type: Article Affiliation country: Bcr-2021-242670

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia / Gram-Negative Bacterial Infections / Stenotrophomonas maltophilia / COVID-19 Type of study: Case report / Diagnostic study / Observational study / Prognostic study Topics: Long Covid Limits: Humans Language: English Year: 2021 Document Type: Article Affiliation country: Bcr-2021-242670