title: Recurrent Stenotrophomonas maltophilia bacteremia after iliac crest bone graft harvest.
abstract: We describe a rare case of recurrent Stenotrophomonas maltophilia bacteremia in a previously healthy 45-year-old man. The infection was caused by osteomyelitis at the site of an iliac crest bone graft harvest. A genetic analysis using enterobacterial repetitive intergenic consensus polymerase chain reaction (ERIC-PCR) revealed that the blood isolates and pathogens obtained from the surgical wound were identical. Initial treatment with levofloxacin and cefozopran was ineffective, but the patient's infection was successfully treated by long-term administration of latamoxef and trimethoprim-sulfamethoxazole. The present case suggests that attention should be given to the possibility of S. maltophilia infection in any situations.
authors.affiliation: Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan.
authors.forename: Hideharu
authors.initials: H
authors.lastname: Hagiya
authors.forename: Hiroko
authors.initials: H
authors.lastname: Ogawa
authors.forename: Tomoharu
authors.initials: T
authors.lastname: Ishida
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Terasaka
authors.forename: Kosuke
authors.initials: K
authors.lastname: Kimura
authors.forename: Koichi
authors.initials: K
authors.lastname: Waseda
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Hanayama
authors.forename: Masahiro
authors.initials: M
authors.lastname: Horita
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Shimamura
authors.forename: Eisei
authors.initials: E
authors.lastname: Kondo
authors.forename: Fumio
authors.initials: F
authors.lastname: Otsuka
mesh_terms: D000890:Anti-Infective Agents / Q000627:therapeutic use; D016025:Bone Transplantation / Q000379:methods*; D004269:DNA, Bacterial / Q000032:analysis; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D016905:Gram-Negative Bacterial Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D007085:Ilium / Q000637:transplantation*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D016133:Polymerase Chain Reaction; D012008:Recurrence; D020615:Stenotrophomonas maltophilia / Q000235:genetics / Q000302:isolation & purification* / Q000276:immunology; D020858:Tissue and Organ Harvesting / Q000009:adverse effects*; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use
chemical_list: D000890:Anti-Infective Agents; D004269:DNA, Bacterial; D015662:Trimethoprim, Sulfamethoxazole Drug Combination