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J Eur Acad Dermatol Venereol · Jul 2001
Case ReportsAcral necrosis by Stenotrophomonas maltophilia.
- O Pereira, G C Velho, V Lopes, F Mota, C Santos, and A Massa.
- Department of Dermatovenereology, Hospital Geral Santo António, Porto, Portugal. derma.hgsa@mail.telepac.pt
- J Eur Acad Dermatol Venereol. 2001 Jul 1; 15 (4): 334-6.
BackgroundStenotrophomonas maltophilia (SM) has been considered a nosocomial pathogen. Nevertheless, community acquired infection may occur more frequently than usually recognized.CaseWe 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.ConclusionsThis 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.
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