Authors: M E Falagas A C Kastoris E K Vouloumanou G Dimopoulos
Publish Date: 2009/02/18
Volume: 28, Issue: 7, Pages: 719-
Abstract
Stenotrophomonas maltophilia is a pathogen that causes infections mainly in immunocompromised patients However communityacquired S maltophilia infections have been occasionally reported The objective of this paper was to collect and evaluate the available published data referring to communityacquired S maltophilia infections We searched PubMed the Cochrane Library and Scopus for articles providing data for patients with communityacquired S maltophilia infections Eight case series and 23 case reports involving 77 and 26 patients with communityacquired S maltophilia infections respectively were regarded as eligible for inclusion in our review Regarding the 77 patients with communityacquired S maltophilia infections included in the identified case series 45 had bacteremia six ocular infections five respiratory tract infections four wound/soft tissue infections two urinary tract infections one conjunctivitis one otitis and one cellulitis data were not reported for the remaining 12 patients Comorbidity such as malignancy HIV infection prior hospitalization was common Data included in the eight case series regarding the outcome of infection were limited From the 26 patients with communityacquired S maltophilia infections reported in the case reports 22 were cured from the infection whereas 4 of 26 patients died one death was attributed to septic shock due to S maltophilia Several publications report patients with communityacquired S maltophilia infections the majority of them refer to patients with some kind of comorbidity Physicians should be aware that S maltophilia infections are not restricted to hospitalized patients
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