Catheter-related Bloodstream Infection Caused by Stenotrophomonas maltophilia in An Adult Patient with End-stage Renal Disease: Successful Treatment with Ceftazidime and Removal of Catheter

尿毒症病患罹患導管相關嗜麥芽單胞菌（Stenotrophomonas maltophilia）血流感染：移除導管與使用頭孢他啶（Ceftazidime）成功治療病患

10.6314/JIMT.2014.25(3).12

陳昶華(Chang-Hua Chen)；陳昱旻(Yu-Min Chen)；張家築(Chia-Chu Chang)

Stenotrophomonas maltophilia ； Catheter ； Bloodstream infection ； End-stage renal disease

內科學誌

25卷3期（2014 / 06 / 01）

215 - 219

英文

導管相關血流感染是種嚴重疾病，在尿毒症病患是一個重要的臨床問題。我們報告一例嗜麥芽單胞菌（Stenotrophomonas maltophilia）引起在尿毒症病患的血流感染。目前並沒有頭孢他啶（Ceftazidime）對於嗜麥芽單胞菌的判讀標準。本案例移除導管與使用頭孢他啶成功治療病患。

Catheter-related bloodstream infection (CrBSI) is an important clinical problem in critically ill patients, such as patients with end-stage renal disease (ESRD). We report a case of CrBSI caused by Stenotrophomonas maltophilia (S. maltophilia) in an adult patient with ESRD. It is not known whether S. maltophilia is susceptible to ceftazidime (CAZ) becasue there is no standard breakpoint for CAZ. Following removal of the catheter and a 17-day course of CAZ the patient made a good recovery.