title: Acral necrosis by Stenotrophomonas maltophilia.
abstract: BACKGROUND
  Stenotrophomonas maltophilia (SM) has been considered a nosocomial pathogen. Nevertheless, community acquired infection may occur more frequently than usually recognized.
  
  
  METHODS
  We describe distal necrosis of the fingers by SM in a farmer, contracted in the community and successfully treated with a combination of cotrimoxazole and ciprofloxacin. The patient was diagnosed with chronic lymphocytic leukaemia 6 months later.
  
  
  CONCLUSIONS
  This unusual presentation shows that infection with SM should be included in the differential diagnosis of the skin and soft tissue infection, even in apparently healthy patients.
authors.affiliation: Department of Dermatovenereology, Hospital Geral Santo António, Porto, Portugal. derma.hgsa@mail.telepac.pt
authors.forename: O
authors.initials: O
authors.lastname: Pereira
authors.forename: G C
authors.initials: GC
authors.lastname: Velho
authors.forename: V
authors.initials: V
authors.lastname: Lopes
authors.forename: F
authors.initials: F
authors.lastname: Mota
authors.forename: C
authors.initials: C
authors.lastname: Santos
authors.forename: A
authors.initials: A
authors.lastname: Massa
mesh_terms: D000368:Aged; D005385:Fingers / Q000473:pathology; D016905:Gram-Negative Bacterial Infections / Q000175:diagnosis / Q000188:drug therapy; D006229:Hand Dermatoses / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D008297:Male; D009336:Necrosis; D017192:Skin Diseases, Bacterial / Q000175:diagnosis / Q000188:drug therapy; D018461:Soft Tissue Infections / Q000175:diagnosis / Q000188:drug therapy; D020615:Stenotrophomonas maltophilia