期刊
INTERNAL MEDICINE
卷 57, 期 24, 页码 3667-3671出版社
JAPAN SOC INTERNAL MEDICINE
DOI: 10.2169/internalmedicine.1227-18
关键词
Stenotrophomonas maltophilia; neutropenic enterocolitis (NEC); acute myeloid leukemia (AML); hematopoietic stem cell transplantation (HSCT)
Although Stenotrophomonas maltophilia causes substantial morbidity and mortality in immunocompromised patients,] it has not been described as a causal pathogen of neutropenic enterocolitis (NEC). We describe the first case of histologically-confirmed NEC caused by S. maltophilia accompanied by bacteremia and pneumonia after salvage chemotherapy for acute myeloid leukemia relapse following a second hematopoietic stem cell transplantation. S. maltophilia should be included as a pathogenic organism of NEC in severely immunocompromised patients to prevent a delayed diagnosis, which carries a high risk of inappropriate antimicrobial selection and fatal outcome.
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