Correia Cátia Rodrigues, Ferreira Sara Tavares, Nunes Paula
Department of Pediatrics, São Francisco Xavier Hospital, Lisbon, Portugal.
Pediatr Int. 2014 Aug;56(4):e21-2. doi: 10.1111/ped.12352.
Stenotrophomonas maltophilia is a Gram-negative bacillus, which is an extremely rare cause of meningitis. To our knowledge, there are only five previous pediatrics cases. Here, we describe the case of a 4-year-old boy who developed meningitis associated with this organism, after several neurosurgical procedures and previous treatment with a broad-spectrum antibiotic. He was treated successfully with a combination of trimethoprim-sulfamethoxazole, ceftazidime and levofloxacin. Stenotrophomonas maltophilia should be considered as a potential cause of meningitis, especially among severely debilitated or immunosuppressed patients. Antimicrobial therapy is complicated by the high resistance of the organism to multiple antibiotics.
嗜麦芽窄食单胞菌是一种革兰氏阴性杆菌，是极为罕见的脑膜炎病因。据我们所知，此前仅有5例儿科病例。在此，我们描述一名4岁男孩的病例，该男孩在经历多次神经外科手术后，曾接受广谱抗生素治疗，之后发生了与该病菌相关的脑膜炎。他通过复方新诺明、头孢他啶和左氧氟沙星联合治疗而康复。嗜麦芽窄食单胞菌应被视为脑膜炎的潜在病因，尤其是在严重虚弱或免疫抑制的患者中。由于该病菌对多种抗生素具有高度耐药性，抗菌治疗变得复杂。
