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Acral necrosis by Stenotrophomonas maltophilia
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Orientador(es)
Resumo(s)
Keywords:necrosis;skin and soft tissue infection;Stenotrophomonas maltophilia
Abstract
Background
Stenotrophomonas maltophilia (SM) has been considered a nosocomial pathogen. Nevertheless, community acquired infection may occur more frequently than usually recognized.
Case
We describe distal necrosis of the fingers by SM in a farmer, contracted in the community and successfully treated with a combination of cotrimoxazole and ciprofloxacin. The patient was diagnosed with chronic lymphocytic leukaemia 6 months later.
Conclusions
This unusual presentation shows that infection with SM should be included in the differential diagnosis of the skin and soft tissue infection, even in apparently healthy patients.