Abstract
Stenotrophomonas maltophilia (formerly Xanthomonas maltophilia) is a Gram-negative bacillus increasingly associated with serious nosocomial infections. Here, we describe a 30-year-old male patient who developed meningitis associated with this organism after several neurosurgical procedures. A review of the literature revealed only 15 previous reports. Most cases were associated with neurosurgical procedures. Antimicrobial therapy is complicated by multiple drug resistance of the organism, and trimethoprim-sulfamethoxazole is the recommended agent for treatment.
MeSH terms
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Adult
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Anti-Bacterial Agents / therapeutic use
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Cross Infection / drug therapy
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Cross Infection / microbiology*
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Drug Resistance, Bacterial
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Female
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Gram-Negative Bacterial Infections / drug therapy
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Gram-Negative Bacterial Infections / microbiology*
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Humans
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Male
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Meningitis, Bacterial / drug therapy
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Meningitis, Bacterial / microbiology*
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Stenotrophomonas maltophilia / isolation & purification*
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Surgical Wound Infection / drug therapy
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Surgical Wound Infection / microbiology*
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Trimethoprim, Sulfamethoxazole Drug Combination / therapeutic use
Substances
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Anti-Bacterial Agents
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Trimethoprim, Sulfamethoxazole Drug Combination