Xanthomonas maltophilia Infection in Chronic Peritoneal Dialysis Patients

Al-Hilali, Nabieh; Nampoory, M.R.N.; Johny, K.V.; Chugh, T.D.

doi:10.1080/003655900750016922

Cited by 20 publications

(11 citation statements)

References 8 publications

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“…Baek et al (5) , reported a total of 5 cases including 2 patients with ESI and 3 patients with peritonitis, and 2 patients had catheter loss. Azak A et al (11) , reported a single case, Beatriz Millan Diaz et al (12) , reported single case, and N.Al-Hilali et al (13) reported 4 cases.…”

Section: Discussionmentioning

confidence: 99%

Stenotrophomonas Maltophilia Peritonitis in a Child: Case Report and Review of Literature

Alaygut¹,

Alparslan²,

Sarıtaş³

et al. 2020

Terh

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Stenotrophomonas maltophilia peritonitis has been only occasionally reported in patients undergoing continuous ambulatory peritoneal dialysis (CAPD). Because this microorganism has multi-drug resistance, its treatment is hard and long-term. The treatment might not be successful despite all the efforts and the process of peritoneal dialysis, and may terminate with loss of the catheter. In the present paper, S. maltophilia peritonitis developed in a 6-year-old girl patient, who underwent peritoneal dialysis due to bilateral dysplastic kidney, suffered from episodes of peritonitis frequently and required hospitalization, was presented with literature data. Even though the case received multiple antibiotic treatment and underwent endoluminal brushing (EB), the success of treatment could not be achieved. To the best of our knowledge, this patient is the youngest case in the literature.

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Section: Discussionmentioning

confidence: 99%

Stenotrophomonas Maltophilia Peritonitis in a Child: Case Report and Review of Literature

Alaygut¹,

Alparslan²,

Sarıtaş³

et al. 2020

Terh

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“…S. maltophilia may cause peritonitis in patients receiving chronic peritoneal dialysis; catheter removal is usually required for cure. 35,36 ANTIMICROBIAL SUSCEPTIBILITY Most isolates of S. maltophilia are resistant to multiple antimicrobial agents. High-level resistance to multiple b-lactam antibiotics is due to two inducible b-lactamases, a zinc-containing penicillinase 37 and a cephalosporinase.…”

Section: Bacteremiamentioning

confidence: 99%

Optimizing Therapy for Stenotrophomonas maltophilia

Muder

2007

Semin Respir Crit Care Med

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Stenotrophomonas (Xanthomonas) maltophilia is a nonfermentative, gram-negative bacillus that is widely distributed in natural and human-made environments. In the nonhospital setting it is an uncommon pathogen, typically causing soft tissue infection of contaminated wounds. In the hospital setting, particularly among critical care and oncology patients, S. maltophilia may cause catheter-related bacteremia, pneumonia, soft tissue infection, meningitis, prosthetic valve endocarditis, and ocular infections. S. maltophilia is usually resistant to multiple antimicrobials, including expanded-spectrum penicillins, third-generation cephalosporins, carbapenems, aminoglycosides, and quinolones. Trimethoprim-sulfamethoxazole is the antimicrobial agent of choice for this pathogen but is bacteriostatic. Further, resistance to this agent is increasing. Certain combinations of antibiotics are synergistic and may be appropriate for patients harboring resistant organisms or with life-threatening infections.

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“…22 Stenotrophomonas maltophilia cellulitis can occur at the site of endovascular, peritoneal, jejunostomy, and suprapubic catheters. 50,85,86 Severe cellulitis and myositis without previous trauma have been described in neutropenic and other hospitalized patients. 25,87 The most remarkable type of soft tissue infection due to S. maltophilia is the metastatic involvement in immunosuppressed bacteremic patients as already described, manifesting as multiple nodular lesions surrounded by violaceous erythema, or as ecthyma gangrenosum.…”

Section: Bacteremiamentioning

confidence: 99%

“…103 Abdominal Infection S. maltophilia abdominal infections include cholangitis in patients with biliary tract obstruction due to hepatobiliary malignancies, 104 and peritonitis in patients undergoing chronic peritoneal dialysis. 85,[105][106][107][108] Peritoneal infections respond well to antibiotic treatment, although removal of the intraperitoneal catheter has been advocated in a large number of patients. 52 One case of an infected pancreatic pseudocyst secondary to severe pancreatitis has also been reported.…”

Section: Bacteremiamentioning

confidence: 99%

Stenotrophomonas MaltophiliaInfections

Dignani¹,

Grazziutti²,

Anaissie³

2003

Seminars in Respiratory and Critical Care Medicine

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Stenotrophomonas maltophilia is a ubiquitous, gram-negative organism that causes hospital-acquired infections. Persons often come in contact with S. maltophilia through environmental water sources, including hospital tap water or faucets, and it has been associated with nosocomial outbreaks of infection. S. maltophilia often infects debilitated persons and those with underlying medical conditions, including immunosuppression. Manifestations of infection include pneumonia, often in mechanically ventilated patients, bacteremia, skin and soft tissue infection, urinary tract infection, and endocarditis. Treatment of S. maltophilia infection is difficult because the organism is resistant to a number of agents typically used for hospital-acquired infections. In vitro and clinical data indicate that trimethoprim-sulfamethoxazole is the agent of choice. Beta-lactamase inhibitors such as clavulanate are also active, and combination therapy may be indicated for certain serious infections due to S. maltophilia.

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Xanthomonas maltophilia Infection in Chronic Peritoneal Dialysis Patients

Cited by 20 publications

References 8 publications

Stenotrophomonas Maltophilia Peritonitis in a Child: Case Report and Review of Literature

Stenotrophomonas Maltophilia Peritonitis in a Child: Case Report and Review of Literature

Optimizing Therapy for Stenotrophomonas maltophilia

Stenotrophomonas MaltophiliaInfections

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