Haemorrhagic pneumonia caused by Stenotrophomonas maltophilia in two newborns
Author(s) -
Nilüfer Güzoğlu,
Fatma Nur Demirkol,
Didem Aliefendioğlu
Publication year - 2015
Publication title -
the journal of infection in developing countries
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.322
H-Index - 49
eISSN - 2036-6590
pISSN - 1972-2680
DOI - 10.3855/jidc.5463
Subject(s) - stenotrophomonas maltophilia , medicine , pneumonia , respiratory distress , pneumothorax , stenotrophomonas , antibiotics , intensive care medicine , acute respiratory distress , surgery , lung , pseudomonas aeruginosa , microbiology and biotechnology , pseudomonas , genetics , bacteria , biology
Invasive procedures and antibiotic treatment increase the risk of nosocomial infections in neonatal intensive care units. Early identification and appropriate treatment is important. Herein we report two cases of massive hemorrhagic pneumonia caused by Stenotrophomonas maltophilia. The first case was diagnosed with congenital pneumonia; a chest tube was inserted because of pneumothorax on the third day of life. The second case had been referred with respiratory distress syndrome, and bilateral pneumothorax was present on admission. Upon follow up, the cases' clinical condition worsened; acute respiratory distress syndrome and massive pulmonary haemorrhage developed. After Stenotrophomonas maltophilia was isolated in blood cultures, the cases were treated successfully using a combination of trimethoprim/sulfamethoxazole and fluoroquinolone.
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