Acral necrosis by Stenotrophomonas maltophilia

• Autor(es): PEREIRA, O. ; VELHO, G.C. ; LOPES, V. ; MOTA, F. ; SANTOS, C. ; MASSA, A.
• Data: 2001
• Identificador Persistente: http://hdl.handle.net/10400.16/454
• Origem: Repositório Científico do Centro Hospitalar do Porto
• Tipo de Documento: Artigo
• Idioma: Inglês

Descrição

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.