Nosocomial pneumonia likely caused by Stenotrophomonas maltophilia in two patients with polymyositis

Koichi Amano, Hiroshi Maruyama, Tsutomu Takeuchi

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

We report two cases of polymyositis (PM) complicated with nosocomial pneumonia probably caused by Stenotrophomonas maltophilia, which was resistant to multiple antimicrobials. In the first case, the chest CT findings and high serum endotoxin level as well as sputum culture results were helpful for the proper diagnosis and the therapy was successful. However the second patient died of a lung abscess in spite of the intensive antibiotic therapy. When PM patients develop pneumonia unresponsive to various antibiotics, a multi-drug-resistant bacteria such as Stenotrophomonas maltophilia should be considered as the pathogen.

Original languageEnglish
Pages (from-to)910-916
Number of pages7
JournalInternal Medicine
Volume38
Issue number11
DOIs
Publication statusPublished - 1999 Nov
Externally publishedYes

Keywords

  • Interstitial pneumonitis
  • Multi-drug-resistant bacteria
  • Opportunistic infection

ASJC Scopus subject areas

  • Internal Medicine

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