Fatal hemorrhagic pneumonia: Don't forget Stenotrophomonas maltophilia

Cristina Gutierrez; Egbert Pravinkumar; Dave Balachandran; Virginia Schneider

doi:10.1016/j.rmcr.2016.06.003

Fatal hemorrhagic pneumonia: Don't forget Stenotrophomonas maltophilia

Respir Med Case Rep. 2016 Jun 14:19:12-4. doi: 10.1016/j.rmcr.2016.06.003. eCollection 2016.

Authors

Cristina Gutierrez¹, Egbert Pravinkumar¹, Dave Balachandran², Virginia Schneider¹

Affiliations

¹ Department of Critical Care, Division of Anesthesiology and Critical Care, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
² Department of Pulmonary Medicine, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Abstract

We present a case of fatal hemorrhagic pneumonia secondary to Stenotrophomonas maltophilia in a patient with acute myeloid leukemia. S. maltophilia is commonly a non-virulent pathogen. However, in the immunocompromised, it is generally associated with bacteremia after central venous catheter placement or pneumonia. Hemorrhagic pneumonia is a rare presentation of this bacteria, with only 31 cases reported in the literature, and has 100% mortality within 72 hours. Rapid recognition and early suspicion should be key in the treatment of these patients.

Keywords: Hemorrhagic pneumonia; Stenotrophomonas maltophilia.

Publication types

Case Reports