ASM case reports · 2025
Stenotrophomonas maltophilia infective endocarditis complicated by two embolic strokes: a rare case report and treatment approach.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Qadabashi Khaled, Itani Hadi, Al Sakan Moied, Ghabally Mike, Araj George F
Аннотация
BACKGROUND: Stenotrophomonas maltophilia is a rising opportunistic organism among hospitalized patients, leading to outbreak infections. It is known to be a nosocomial pathogen resistant to multiple antibiotics and may be transmitted via contaminated hospital equipment. Its infection can lead to cardiac complications, although very rare.
CASE SUMMARY: We present a case of a 63-year-old patient who presented with insidious symptoms of fever, chills, and chest discomfort and was admitted for the management of prosthetic valve infective endocarditis caused by S. maltophilia evident by positive blood cultures and visualized vegetations on the mitral valve by echocardiography. The hospital stay was complicated by two embolic strokes. The patient underwent successful surgical replacement of the prosthetic mitral valve. However, given the patient's significant disability and morbidity, he required assistance in performing the activities of daily living in addition to placement of a gastrostomy tube due to the high risk of aspiration.
CONCLUSION: S. maltophilia infective endocarditis is a rare but serious infection that warrants immediate attention with prompt initiation of intravenous antibiotics. In addition, and when indicated, surgical intervention can lead to successful management and minimize the risk of complications, morbidity, and mortality.
CASE SUMMARY: We present a case of a 63-year-old patient who presented with insidious symptoms of fever, chills, and chest discomfort and was admitted for the management of prosthetic valve infective endocarditis caused by S. maltophilia evident by positive blood cultures and visualized vegetations on the mitral valve by echocardiography. The hospital stay was complicated by two embolic strokes. The patient underwent successful surgical replacement of the prosthetic mitral valve. However, given the patient's significant disability and morbidity, he required assistance in performing the activities of daily living in addition to placement of a gastrostomy tube due to the high risk of aspiration.
CONCLUSION: S. maltophilia infective endocarditis is a rare but serious infection that warrants immediate attention with prompt initiation of intravenous antibiotics. In addition, and when indicated, surgical intervention can lead to successful management and minimize the risk of complications, morbidity, and mortality.