Infections Caused by Pseudomonas maltophilia: Expanding Clinical Spectrum

doi:10.1001/archinte.1987.00370090148025

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Vol. 147 No. 9, September 1987

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Infections Caused by Pseudomonas maltophilia

Expanding Clinical Spectrum

Robert R. Muder, MD; Victor L. Yu, MD; J. Stephen Dummer, MD; Carey Vinson, MD; Robert M. Lumish, MD

Arch Intern Med. 1987;147(9):1672-1674.

Abstract

• Pseudomonas maltophilia (Xanthomonas maltophilia) isa frequently isolated commensal that is gaining increasing recognitionas an opportunistic pathogen in debilitated hosts. We reportthree unusual infections due to P maltophilia that illustratethe ability of the organism to cause life-threatening illness.We describe a case of postoperative meningitis, a case of recurrentbacteremia complicated by ecthyma gangrenosum, and a case ofnative valve endocarditis in a drug addict. Because of frequentisolation from noninfected sites, the pathogenic potential ofP maltophilia may be overlooked. The notable resistance of thisorganism is commonly used βlactam and aminoglycoside antibioticsmay complicate therapy.

(Arch Intern Med 1987;147:1672-1674)

Author Affiliations

From the Departments of Medicine, Mercy Hospital (Dr Muder), Veterans Administration Medical Center (Drs Muder and Yu), University of Pittsburgh (Drs Dummer and Yu), and Forbes Health Center (Dr Vinson), Pittsburgh.

Footnotes

Accepted for publication June 15, 1987.

Reprint requests to Scaife 968, University of Pittsburgh Schoolof Medicine, Pittsburgh, PA 15261 (Dr Yu).

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