Nosocomial Pneumonia Likely Caused by Stenotrophomonas Maltophilia in Two Patients with Polymyositis.

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  • AMANO Koichi
    The Second Department of Internal Medicine, Saitama Medical Center, Saitama Medical School
  • MARUYAMA Hiroshi
    The Second Department of Internal Medicine, Saitama Medical Center, Saitama Medical School
  • TAKEUCHI Tsutomu
    The Second Department of Internal Medicine, Saitama Medical Center, Saitama Medical School

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Abstract

We report two cases of polymyositis (PM) complicated with nosocomial pneumonia probably caused by Stenotrophomonas maltophilia, which was resistant to multiple antimicrobials. In the first case, the chest CT findings and high serum endotoxin level as well as sputum culture results were helpful for the proper diagnosis and the therapy was successful. However the second patient died of a lung abscess in spite of the intensive antibiotic therapy. When PM patients develop pneumonia unresponsive to various antibiotics, a multi-drug-resistant bacteria such as Stenotrophomonas maltophilia should be considered as the pathogen.<br>(Internal Medicine 38: 910-916, 1999)

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  • Internal Medicine

    Internal Medicine 38 (11), 910-916, 1999

    The Japanese Society of Internal Medicine

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