Community acquired Stenotrophomonas maltophilia discitis: Diagnosis aided by shotgun metagenomic sequencing | Zendy

Gang Wang | Zendy; Nannan Xu | Zendy; Lulu Yang | Zendy; Feng Zheng | Zendy; Lintao Sai | Zendy; Jiale Zhou | Zendy; Shangxin Yang | Zendy

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Community acquired Stenotrophomonas maltophilia discitis: Diagnosis aided by shotgun metagenomic sequencing

Author(s) -

Gang Wang,

Nannan Xu,

Lulu Yang,

Feng Zheng,

Lintao Sai,

Jiale Zhou,

Shangxin Yang

Publication year - 2019

Publication title -

international journal of infectious diseases

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.278

H-Index - 89

eISSN - 1878-3511

pISSN - 1201-9712

DOI - 10.1016/j.ijid.2019.01.032

Subject(s) - discitis , stenotrophomonas maltophilia , shotgun , medicine , metagenomics , epidural abscess , cupping therapy , minocycline , antibiotics , abscess , surgery , microbiology and biotechnology , biology , radiology , pathology , bacteria , biochemistry , genetics , alternative medicine , gene , magnetic resonance imaging , pseudomonas aeruginosa , acupuncture

We report a rare case of culture negative L4-L5 discitis and epidural abscess in an immunocompetent child who had dry cupping therapy performed to treat low back strain. The causative pathogen was identified as Stenotrophomonas maltophilia by shotgun metagenomic sequencing of spinal cord aspirate after more than one month of unsuccessful empirical treatment with 6 different antibiotics. The patient was successfully treated with Sulfamethoxazole-trimethoprim and minocycline. Cupping therapy is a very popular medical procedure widely used in China, but the potential risk for severe infections such as discitis and epidural abscess described in this case should be recognized.

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