Stenotrophomonas maltophilia septicemia with pyomyositis in a chemotherapy-treated patient.
Pyomyositis is a rare complication of chemotherapy. A 35-year-old male patient with myelodysplastic syndrome developed Stenotrophomonas maltophilia bacteremia shortly after chemotherapy, and Stenotrophomonas maltophilia-related pyomyositis was encountered after recovery from neutropenia. He recovered completely after surgical drainage and a protracted course of antibiotic treatment. It is postulated that subclinical myopathy, immunosuppression secondary to the malignancy, or chemotherapeutic drugs may predispose to pyomyositis. Early recognition of this unusual complication in a cancer patient undergoing chemotherapy can prevent further catastrophes.
Division of Hematology/Oncology, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, No. 325 Cheng-Kung Road, Sec. 2, Neihu 114, Taipei, Taiwan.
S H
SH
Tsai
T Y
TY
Chao
T D
TD
Chou
M S
MS
Dai
D000328:Adult; D000970:Antineoplastic Agents / Q000009:adverse effects*; D003937:Diagnosis, Differential; D006801:Humans; D007866:Leg / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D009190:Myelodysplastic Syndromes / Q000150:complications / Q000188:drug therapy; D009220:Myositis / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy; D009894:Opportunistic Infections; D018805:Sepsis / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy; D020615:Stenotrophomonas maltophilia
D000970:Antineoplastic Agents