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

doi:10.2169/internalmedicine.53.1995

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 journal › Article › peer-review

2 Citations (Scopus)

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 language	English
Pages (from-to)	1693-1698
Number of pages	6
Journal	Internal Medicine
Volume	53
Issue number	15
DOIs	https://doi.org/10.2169/internalmedicine.53.1995
Publication status	Published - 2014

Keywords

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

ASJC Scopus subject areas

Internal Medicine

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10.2169/internalmedicine.53.1995

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title = "Recurrent stenotrophomonas maltophilia bacteremia after iliac crest bone graft harvest",

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.",

keywords = "Enterobacterial repetitive intergenic consensus (ERIC)-PCR, Latamoxef (LMOX), Nosocomial infection, Osteomyelitis, Stenotrophomonas maltophilia, Surgical site infection",

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

year = "2014",

doi = "10.2169/internalmedicine.53.1995",

language = "English",

volume = "53",

pages = "1693--1698",

journal = "Internal Medicine",

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publisher = "Japanese Society of Internal Medicine",

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T1 - Recurrent stenotrophomonas maltophilia bacteremia after iliac crest bone graft harvest

AU - Hagiya, Hideharu

AU - Ogawa, Hiroko

AU - Ishida, Tomoharu

AU - Terasaka, Tomohiro

AU - Kimura, Kosuke

AU - Waseda, Koichi

AU - Hanayama, Yoshihisa

AU - Horita, Masahiro

AU - Shimamura, Yasunori

AU - Kondo, Eisei

AU - Otsuka, Fumio

PY - 2014

Y1 - 2014

N2 - 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.

AB - 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.

KW - Enterobacterial repetitive intergenic consensus (ERIC)-PCR

KW - Latamoxef (LMOX)

KW - Nosocomial infection

KW - Osteomyelitis

KW - Stenotrophomonas maltophilia

KW - Surgical site infection

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U2 - 10.2169/internalmedicine.53.1995

DO - 10.2169/internalmedicine.53.1995

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SN - 0918-2918

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EP - 1698

JO - Internal Medicine

JF - Internal Medicine

IS - 15

ER -

Recurrent stenotrophomonas maltophilia bacteremia after iliac crest bone graft harvest

Abstract

Keywords

ASJC Scopus subject areas

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