Acral necrosis by Stenotrophomonas maltophilia

Keywords:necrosis;skin and soft tissue infection;Stenotrophomonas maltophilia Abstract Background Stenotrophomonas maltophilia (SM) has been considered a nosocomial pathogen. Nevertheless, community acquired infection may occur more frequently than usually recognized. Case We describe distal necrosi...

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Bibliographic Details
Main Author: PEREIRA, O. (author)
Other Authors: VELHO, G.C. (author), LOPES, V. (author), MOTA, F. (author), SANTOS, C. (author), MASSA, A. (author)
Format: article
Language:eng
Published: 2010
Online Access:http://hdl.handle.net/10400.16/454
Country:Portugal
Oai:oai:repositorio.chporto.pt:10400.16/454
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Summary:Keywords:necrosis;skin and soft tissue infection;Stenotrophomonas maltophilia Abstract Background Stenotrophomonas maltophilia (SM) has been considered a nosocomial pathogen. Nevertheless, community acquired infection may occur more frequently than usually recognized. Case We describe distal necrosis of the fingers by SM in a farmer, contracted in the community and successfully treated with a combination of cotrimoxazole and ciprofloxacin. The patient was diagnosed with chronic lymphocytic leukaemia 6 months later. Conclusions This unusual presentation shows that infection with SM should be included in the differential diagnosis of the skin and soft tissue infection, even in apparently healthy patients.

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