Community acquired Stenotrophomonas maltophilia causing empyema in an adult with HIV

Authors

  • P. Sharma Dr. Baba Saheb Ambedkar Hospital, Rohini, Delhi, India
  • S.D. Duggal Dr. Baba Saheb Ambedkar Hospital, Rohini, Delhi, India
  • S. Gupta Dr. Baba Saheb Ambedkar Hospital, Rohini, Delhi, India
  • R. Gur Dr. Baba Saheb Ambedkar Hospital, Rohini, Delhi, India
  • S. Kaushik Dr. Baba Saheb Ambedkar Hospital, Rohini, Delhi, India
  • T. Bharara Dr. Baba Saheb Ambedkar Hospital, Rohini, Delhi, India

DOI:

https://doi.org/10.3126/saarctb.v16i2.23342

Keywords:

Stenotrophomonas, immunocompromised, empyema, HIV

Abstract

Introduction: Stenotrophomonas maltophilia (S. maltophilia) is multidrug resistant (MDR) organism usually associated with hospital acquired infections. Here we report a rare case of community acquired S. maltophilia empyema in a human immunodeficiency virus (HIV) positive patient.

Case Report: A 54 year old male presented with cough, breathlessness and chest pain for one month. On investigation, radiological picture was suggestive of massive right empyema. Pleural fluid culture grew S. maltophilia repeatedly which was treated with cotrimoxazole and levofloxacin based on antibiogram. Following improvement patient was discharged on anti-retro viral and anti-tubercular treatment.

Conclusion: Community acquired invasive S. maltophilia infections should be kept as differential diagnosis in immunocompromised patients. Being MDR, appropriate microbiological identification and susceptibility play an important role in treatment and outcome of these patients.

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Author Biographies

P. Sharma, Dr. Baba Saheb Ambedkar Hospital, Rohini, Delhi, India

Department of Microbiology

S.D. Duggal, Dr. Baba Saheb Ambedkar Hospital, Rohini, Delhi, India

Department of Microbiology

S. Gupta, Dr. Baba Saheb Ambedkar Hospital, Rohini, Delhi, India

Department of Pulmonary Medicine

R. Gur, Dr. Baba Saheb Ambedkar Hospital, Rohini, Delhi, India

Department of Microbiology

S. Kaushik, Dr. Baba Saheb Ambedkar Hospital, Rohini, Delhi, India

Department of Microbiology

T. Bharara, Dr. Baba Saheb Ambedkar Hospital, Rohini, Delhi, India

Department of Microbiology

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Published

2018-12-31

How to Cite

Sharma, P., Duggal, S., Gupta, S., Gur, R., Kaushik, S., & Bharara, T. (2018). Community acquired Stenotrophomonas maltophilia causing empyema in an adult with HIV. SAARC Journal of Tuberculosis, Lung Diseases and HIV/AIDS, 16(2), 28–31. https://doi.org/10.3126/saarctb.v16i2.23342

Issue

Section

Case Studies