Stenotrophomonas maltophilia keratitis treated with trimethoprim-sulfamethoxazole
An 84 year-old woman with persistent epithelial defect and a dense stromal infiltrate post-corneal transplantation. According to the microbiological results, it was due to a Stenotrophomonas maltophilia (S. maltophilia) resistant to all antibiotics except trimethoprim-sulfamethoxazole (TMP/SMX). Hea...
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| Veröffentlicht in: | Archivos de la Sociedad Española de Oftalmología 2015-11, Vol.90 (11), p.539-541 |
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| container_title | Archivos de la Sociedad Española de Oftalmología |
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| creator | Díez-Álvarez, L Lumbreras-Fernández, B García-Pérez, J L |
| description | An 84 year-old woman with persistent epithelial defect and a dense stromal infiltrate post-corneal transplantation. According to the microbiological results, it was due to a Stenotrophomonas maltophilia (S. maltophilia) resistant to all antibiotics except trimethoprim-sulfamethoxazole (TMP/SMX). Healing was achieved after three weeks of treatment with oral and topical TMP/SMX.
S. maltophilia is an opportunistic microorganism rarely described in ophthalmology. It is associated with conjunctivitis, keratitis, scleritis, dacryrocystitis, cellulitis, and endophthalmitis with significant morbidity. Treatment is complicated because of its resistances to broad-spectrum antibiotics. TMP/SMX monotherapy can be considered an option of treatment for this type of keratitis. |
| doi_str_mv | 10.1016/j.oftal.2015.03.001 |
| format | Article |
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S. maltophilia is an opportunistic microorganism rarely described in ophthalmology. It is associated with conjunctivitis, keratitis, scleritis, dacryrocystitis, cellulitis, and endophthalmitis with significant morbidity. Treatment is complicated because of its resistances to broad-spectrum antibiotics. TMP/SMX monotherapy can be considered an option of treatment for this type of keratitis.</description><identifier>EISSN: 1989-7286</identifier><identifier>DOI: 10.1016/j.oftal.2015.03.001</identifier><identifier>PMID: 26008926</identifier><language>eng ; spa</language><publisher>Spain</publisher><subject>Aged, 80 and over ; Anti-Bacterial Agents - therapeutic use ; Descemet Stripping Endothelial Keratoplasty ; Diabetes Mellitus, Type 2 - complications ; Female ; Gram-Negative Bacterial Infections - drug therapy ; Gram-Negative Bacterial Infections - microbiology ; Humans ; Immunocompromised Host ; Keratitis - drug therapy ; Keratitis - microbiology ; Opportunistic Infections - drug therapy ; Opportunistic Infections - microbiology ; Stenotrophomonas maltophilia - isolation & purification ; Surgical Wound Infection - drug therapy ; Surgical Wound Infection - microbiology ; Trimethoprim, Sulfamethoxazole Drug Combination - therapeutic use</subject><ispartof>Archivos de la Sociedad Española de Oftalmología, 2015-11, Vol.90 (11), p.539-541</ispartof><rights>Copyright © 2014 Sociedad Española de Oftalmología. Published by Elsevier España, S.L.U. All rights reserved.</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26008926$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Díez-Álvarez, L</creatorcontrib><creatorcontrib>Lumbreras-Fernández, B</creatorcontrib><creatorcontrib>García-Pérez, J L</creatorcontrib><title>Stenotrophomonas maltophilia keratitis treated with trimethoprim-sulfamethoxazole</title><title>Archivos de la Sociedad Española de Oftalmología</title><addtitle>Arch Soc Esp Oftalmol</addtitle><description>An 84 year-old woman with persistent epithelial defect and a dense stromal infiltrate post-corneal transplantation. According to the microbiological results, it was due to a Stenotrophomonas maltophilia (S. maltophilia) resistant to all antibiotics except trimethoprim-sulfamethoxazole (TMP/SMX). Healing was achieved after three weeks of treatment with oral and topical TMP/SMX.
S. maltophilia is an opportunistic microorganism rarely described in ophthalmology. It is associated with conjunctivitis, keratitis, scleritis, dacryrocystitis, cellulitis, and endophthalmitis with significant morbidity. Treatment is complicated because of its resistances to broad-spectrum antibiotics. TMP/SMX monotherapy can be considered an option of treatment for this type of keratitis.</description><subject>Aged, 80 and over</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Descemet Stripping Endothelial Keratoplasty</subject><subject>Diabetes Mellitus, Type 2 - complications</subject><subject>Female</subject><subject>Gram-Negative Bacterial Infections - drug therapy</subject><subject>Gram-Negative Bacterial Infections - microbiology</subject><subject>Humans</subject><subject>Immunocompromised Host</subject><subject>Keratitis - drug therapy</subject><subject>Keratitis - microbiology</subject><subject>Opportunistic Infections - drug therapy</subject><subject>Opportunistic Infections - microbiology</subject><subject>Stenotrophomonas maltophilia - isolation & purification</subject><subject>Surgical Wound Infection - drug therapy</subject><subject>Surgical Wound Infection - microbiology</subject><subject>Trimethoprim, Sulfamethoxazole Drug Combination - therapeutic use</subject><issn>1989-7286</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kEtLxDAUhYMgzjj6CwTp0k3rTdImzVIGXzAgoq7LbXtLO6aT2qT4-PVWHVeHDz4Oh8PYGYeEA1eX28Q1AW0igGcJyASAH7AlN7mJtcjVgh17vwVIpTT5EVsIBZAboZbs8SnQzoXRDa3r3Q591KMNM3W2w-iVRgxd6HwURsJAdfTehXaGrqfQumHO2E-2wV_8wC9n6YQdNmg9ne5zxV5urp_Xd_Hm4fZ-fbWJB56ZEGtMjWwyA1XZNLmWGSqoeApZZpREIU3J0xpQ1UCGlyKXVIu61oYaYUxFqVyxi7_eYXRvE_lQ9J2vyFrckZt8wbUSILTWalbP9-pU9lQXP7tx_Cz-b5Df59VhDA</recordid><startdate>20151101</startdate><enddate>20151101</enddate><creator>Díez-Álvarez, L</creator><creator>Lumbreras-Fernández, B</creator><creator>García-Pérez, J L</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20151101</creationdate><title>Stenotrophomonas maltophilia keratitis treated with trimethoprim-sulfamethoxazole</title><author>Díez-Álvarez, L ; Lumbreras-Fernández, B ; García-Pérez, J L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p159t-7a493f590cbff8735a60c14055963a239b14d0a6d0e91b283ed2dd79ef299ce43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; spa</language><creationdate>2015</creationdate><topic>Aged, 80 and over</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Descemet Stripping Endothelial Keratoplasty</topic><topic>Diabetes Mellitus, Type 2 - complications</topic><topic>Female</topic><topic>Gram-Negative Bacterial Infections - drug therapy</topic><topic>Gram-Negative Bacterial Infections - microbiology</topic><topic>Humans</topic><topic>Immunocompromised Host</topic><topic>Keratitis - drug therapy</topic><topic>Keratitis - microbiology</topic><topic>Opportunistic Infections - drug therapy</topic><topic>Opportunistic Infections - microbiology</topic><topic>Stenotrophomonas maltophilia - isolation & purification</topic><topic>Surgical Wound Infection - drug therapy</topic><topic>Surgical Wound Infection - microbiology</topic><topic>Trimethoprim, Sulfamethoxazole Drug Combination - therapeutic use</topic><toplevel>online_resources</toplevel><creatorcontrib>Díez-Álvarez, L</creatorcontrib><creatorcontrib>Lumbreras-Fernández, B</creatorcontrib><creatorcontrib>García-Pérez, J L</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Archivos de la Sociedad Española de Oftalmología</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Díez-Álvarez, L</au><au>Lumbreras-Fernández, B</au><au>García-Pérez, J L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stenotrophomonas maltophilia keratitis treated with trimethoprim-sulfamethoxazole</atitle><jtitle>Archivos de la Sociedad Española de Oftalmología</jtitle><addtitle>Arch Soc Esp Oftalmol</addtitle><date>2015-11-01</date><risdate>2015</risdate><volume>90</volume><issue>11</issue><spage>539</spage><epage>541</epage><pages>539-541</pages><eissn>1989-7286</eissn><abstract>An 84 year-old woman with persistent epithelial defect and a dense stromal infiltrate post-corneal transplantation. 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S. maltophilia is an opportunistic microorganism rarely described in ophthalmology. It is associated with conjunctivitis, keratitis, scleritis, dacryrocystitis, cellulitis, and endophthalmitis with significant morbidity. Treatment is complicated because of its resistances to broad-spectrum antibiotics. TMP/SMX monotherapy can be considered an option of treatment for this type of keratitis.</abstract><cop>Spain</cop><pmid>26008926</pmid><doi>10.1016/j.oftal.2015.03.001</doi><tpages>3</tpages></addata></record> |
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| ispartof | Archivos de la Sociedad Española de Oftalmología, 2015-11, Vol.90 (11), p.539-541 |
| issn | 1989-7286 |
| language | eng ; spa |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Aged, 80 and over Anti-Bacterial Agents - therapeutic use Descemet Stripping Endothelial Keratoplasty Diabetes Mellitus, Type 2 - complications Female Gram-Negative Bacterial Infections - drug therapy Gram-Negative Bacterial Infections - microbiology Humans Immunocompromised Host Keratitis - drug therapy Keratitis - microbiology Opportunistic Infections - drug therapy Opportunistic Infections - microbiology Stenotrophomonas maltophilia - isolation & purification Surgical Wound Infection - drug therapy Surgical Wound Infection - microbiology Trimethoprim, Sulfamethoxazole Drug Combination - therapeutic use |
| title | Stenotrophomonas maltophilia keratitis treated with trimethoprim-sulfamethoxazole |
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