Back to Search
Start Over
Two episodes of Stenotrophomonas maltophilia endocarditis of prosthetic mitral valve: report of a case and review of the literature.
- Source :
-
Journal of Korean medical science [J Korean Med Sci] 2002 Apr; Vol. 17 (2), pp. 263-5. - Publication Year :
- 2002
-
Abstract
- Stenotrophomonas maltophilia (previously named Xanthomonas maltophilia) is an aerobic, non-fermentive, Gram-negative bacillus that is wide spread in the environment. It was considered to be an organism with limited pathogenic potential, which was rarely capable of causing diseases in human other than those who were in debilitated or immunocompromised state. More recent studies have established that Stenotrophomonas maltophilia can behave as a true pathogen. Endocarditis due to this organism is rare, and only 24 cases of Stenotrophomonas maltophilia endocarditis have been reported in the medical literature. Most cases were associated with risk factors, including intravenous drug abuse, dental treatment, infected intravenous devices, and previous cardiac surgery. We present a case with two episodes of Stenotrophomonas maltophilia endocarditis after mitral valve prosthesis implantation, which was treated with antibiotics initially, and a combination of antibiotics and surgery later. To our knowledge, this is the first case of repetitive endocarditis due to Stenotrophomonas maltophilia.
- Subjects :
- Adult
Bioprosthesis adverse effects
Endocarditis, Bacterial physiopathology
Gentamicins therapeutic use
Gram-Negative Bacterial Infections physiopathology
Heart Valve Prosthesis adverse effects
Humans
Male
Mitral Valve
Recurrence
Treatment Outcome
Vancomycin therapeutic use
Anti-Bacterial Agents therapeutic use
Bioprosthesis microbiology
Endocarditis, Bacterial drug therapy
Gram-Negative Bacterial Infections drug therapy
Heart Valve Prosthesis microbiology
Stenotrophomonas maltophilia drug effects
Trimethoprim, Sulfamethoxazole Drug Combination therapeutic use
Subjects
Details
- Language :
- English
- ISSN :
- 1011-8934
- Volume :
- 17
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Journal of Korean medical science
- Publication Type :
- Academic Journal
- Accession number :
- 11961315
- Full Text :
- https://doi.org/10.3346/jkms.2002.17.2.263