title: Fatal hemorrhagic pneumonia: Don't forget Stenotrophomonas maltophilia.
abstract: We present a case of fatal hemorrhagic pneumonia secondary to Stenotrophomonas maltophilia in a patient with acute myeloid leukemia. S. maltophilia is commonly a non-virulent pathogen. However, in the immunocompromised, it is generally associated with bacteremia after central venous catheter placement or pneumonia. Hemorrhagic pneumonia is a rare presentation of this bacteria, with only 31 cases reported in the literature, and has 100% mortality within 72 hours. Rapid recognition and early suspicion should be key in the treatment of these patients.
authors.affiliation: Department of Critical Care, Division of Anesthesiology and Critical Care, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
authors.forename: Cristina
authors.initials: C
authors.lastname: Gutierrez
authors.affiliation: Department of Critical Care, Division of Anesthesiology and Critical Care, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
authors.forename: Egbert
authors.initials: E
authors.lastname: Pravinkumar
authors.affiliation: Department of Pulmonary Medicine, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
authors.forename: Dave
authors.initials: D
authors.lastname: Balachandran
authors.affiliation: Department of Critical Care, Division of Anesthesiology and Critical Care, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
authors.forename: Virginia
authors.initials: V
authors.lastname: Schneider
keywords: Hemorrhagic pneumonia; Stenotrophomonas maltophilia