Recurrent stenotrophomonas maltophilia bacteremia after iliac crest bone graft harvest

Hideharu Hagiya, Hiroko Ogawa, Tomoharu Ishida, Tomohiro Terasaka, Kosuke Kimura, Koichi Waseda, Yoshihisa Hanayama, Masahiro Horita, Yasunori Shimamura, Eisei Kondo, Fumio Otsuka

Research output: Contribution to journalArticle

Abstract

We describe a rare case of recurrent Stenotrophomonas maltophilia bacteremia in a previously healthy 45- year-old man. The infection was caused by osteomyelitis at the site of an iliac crest bone graft harvest. A genetic analysis using enterobacterial repetitive intergenic consensus polymerase chain reaction (ERIC-PCR) revealed that the blood isolates and pathogens obtained from the surgical wound were identical. Initial treatment with levofloxacin and cefozopran was ineffective, but the patient's infection was successfully treated by long-term administration of latamoxef and trimethoprim-sulfamethoxazole. The present case suggests that attention should be given to the possibility of S. maltophilia infection in any situations.

Original languageEnglish
Pages (from-to)1693-1698
Number of pages6
JournalInternal Medicine
Volume53
Issue number15
DOIs
Publication statusPublished - 2014

Fingerprint

Transplants
Bone and Bones
Infection
Moxalactam
Stenotrophomonas maltophilia
Levofloxacin
Sulfamethoxazole Drug Combination Trimethoprim
Osteomyelitis
Polymerase Chain Reaction
Stenotrophomonas maltophilia bacteremia
Therapeutics
cefozopran
Surgical Wound

Keywords

  • Enterobacterial repetitive intergenic consensus (ERIC)-PCR
  • Latamoxef (LMOX)
  • Nosocomial infection
  • Osteomyelitis
  • Stenotrophomonas maltophilia
  • Surgical site infection

ASJC Scopus subject areas

  • Internal Medicine
  • Medicine(all)

Cite this

Recurrent stenotrophomonas maltophilia bacteremia after iliac crest bone graft harvest. / Hagiya, Hideharu; Ogawa, Hiroko; Ishida, Tomoharu; Terasaka, Tomohiro; Kimura, Kosuke; Waseda, Koichi; Hanayama, Yoshihisa; Horita, Masahiro; Shimamura, Yasunori; Kondo, Eisei; Otsuka, Fumio.

In: Internal Medicine, Vol. 53, No. 15, 2014, p. 1693-1698.

Research output: Contribution to journalArticle

Hagiya, Hideharu ; Ogawa, Hiroko ; Ishida, Tomoharu ; Terasaka, Tomohiro ; Kimura, Kosuke ; Waseda, Koichi ; Hanayama, Yoshihisa ; Horita, Masahiro ; Shimamura, Yasunori ; Kondo, Eisei ; Otsuka, Fumio. / Recurrent stenotrophomonas maltophilia bacteremia after iliac crest bone graft harvest. In: Internal Medicine. 2014 ; Vol. 53, No. 15. pp. 1693-1698.
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