Report
Stenotrophomonas maltophilia infection in a patient with acute exacerbation of chronic obstructive pulmonary disease (COPD): A colonizer or true infection?
The American journal of case reports, v 21, pp 1-4
02 Jun 2020
PMID: 32484804
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
BACKGROUND: This article describes a finding of sputum culture positive for Stenotrophomonas maltophilia in an elderly woman with past medical history of chronic obstructive pulmonary disease (COPD) and hypertension, presenting with acute hypoxemic hypercapnic respiratory failure secondary to COPD exacerbation from bronchitis/bronchopneumonia.
CASE REPORT: Computed tomography (CT) of the chest showed secretions in the lower lobe bronchi and small scattered clustered nodules consistent with bronchitis/mild bronchopneumonia without evidence of pulmonary embolism. A sputum culture was positive for Stenotrophomonas maltophilia. She was treated with trimethoprim/sulfamethoxazole for 10 days. She recovered and was subsequently discharged from the hospital.
CONCLUSIONS: Stenotrophomonas maltophilia, previously known as a colonizer, is now being recognized as a true respiratory infection, especially in immunocompromised patients and those with chronic diseases like COPD presenting with signs and symptoms of infection. Therefore, early identification and prompt treatment of Stenotrophomonas maltophilia infection is important for a favorable outcome.
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Details
- Title
- Stenotrophomonas maltophilia infection in a patient with acute exacerbation of chronic obstructive pulmonary disease (COPD): A colonizer or true infection?
- Creators
- Olubunmi O. Oladunjoye - Reading HospitalAdeolu O. Oladunjoye - Boston Children's HospitalOreoluwa Oladiran - Reading HospitalAnthony A. Donato - Reading Hospital
- Publication Details
- The American journal of case reports, v 21, pp 1-4
- Publisher
- International Scientific Information, Inc.
- Number of pages
- 4
- Resource Type
- Report
- Language
- English
- Academic Unit
- Medicine (Graduate); General Internal Medicine
- Web of Science ID
- WOS:000537319200001
- Scopus ID
- 2-s2.0-85085855266
- Other Identifier
- 991022161733204721
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- Web of Science research areas
- Infectious Diseases