Gutierrez Cristina, Pravinkumar Egbert, Balachandran Dave, Schneider Virginia
Department of Critical Care, Division of Anesthesiology and Critical Care, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Department of Pulmonary Medicine, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Respir Med Case Rep. 2016 Jun 14;19:12-4. doi: 10.1016/j.rmcr.2016.06.003. eCollection 2016.
We present a case of fatal hemorrhagic pneumonia secondary to Stenotrophomonas maltophilia in a patient with acute myeloid leukemia. S. maltophilia is commonly a non-virulent pathogen. However, in the immunocompromised, it is generally associated with bacteremia after central venous catheter placement or pneumonia. Hemorrhagic pneumonia is a rare presentation of this bacteria, with only 31 cases reported in the literature, and has 100% mortality within 72 hours. Rapid recognition and early suspicion should be key in the treatment of these patients.
我们报告一例急性髓系白血病患者继发嗜麦芽窄食单胞菌所致的致命性出血性肺炎。嗜麦芽窄食单胞菌通常是一种无毒性的病原体。然而，在免疫功能低下的患者中，它通常与中心静脉导管置入后发生的菌血症或肺炎有关。出血性肺炎是这种细菌罕见的表现形式，文献中仅报道了31例，且在72小时内死亡率达100%。快速识别和早期怀疑对于这些患者的治疗至关重要。
