title: Haemorrhagic pneumonia caused by Stenotrophomonas maltophilia in two newborns.
abstract: Invasive procedures and antibiotic treatment increase the risk of nosocomial infections in neonatal intensive care units. Early identification and appropriate treatment is important. Herein we report two cases of massive hemorrhagic pneumonia caused by Stenotrophomonas maltophilia. The first case was diagnosed with congenital pneumonia; a chest tube was inserted because of pneumothorax on the third day of life. The second case had been referred with respiratory distress syndrome, and bilateral pneumothorax was present on admission. Upon follow up, the cases' clinical condition worsened; acute respiratory distress syndrome and massive pulmonary haemorrhage developed. After Stenotrophomonas maltophilia was isolated in blood cultures, the cases were treated successfully using a combination of trimethoprim/sulfamethoxazole and fluoroquinolone.
authors.affiliation: Kirikkale University, Faculty of Medicine, Kirikkale, Turkey. nguzoglu@gmail.com.
authors.forename: Nilufer
authors.initials: N
authors.lastname: Guzoglu
authors.forename: Fatma Nur
authors.initials: FN
authors.lastname: Demirkol
authors.forename: Didem
authors.initials: D
authors.lastname: Aliefendioglu
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001769:Blood / Q000382:microbiology; D005260:Female; D016905:Gram-Negative Bacterial Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D018410:Pneumonia, Bacterial / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology*; D020615:Stenotrophomonas maltophilia / Q000302:isolation & purification*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents