Case Report of an Uncommon Dermatologic Manifestation of Disseminated Stenotrophomonas Maltophilia Infection in a Patient With Aplastic Anemia.
Mei Qin Dong, Brynna Crovetto, Tania Kupferman
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Case in brief
An immunocompromised patient with aplastic anemia receiving antithymocyte globulin, cyclosporine, and methylprednisolone developed ecthyma gangrenosum associated with disseminated Stenotrophomonas maltophilia infection. The report describes the infection in the context of substantial immunosuppression and reviews published cases to consider treatment selection and duration. The abstract does not provide further details about the diagnostic work-up, specific treatment, clinical course, or outcome.
What made this case unusual
The report concerns ecthyma gangrenosum associated with disseminated S. maltophilia infection in a patient with aplastic anemia receiving immunosuppressive therapy.
Diagnostic / clinical pearl
In an immunocompromised patient, ecthyma gangrenosum may be associated with disseminated S. maltophilia infection; host factors are relevant when considering treatment duration.