Stenotrophomonas (Xanthomonas) maltophilia infection in necrotizing pancreatitis

Conclusion: Although the therapy of infected pancreatic collections or orga nized pancreatic necrosis remains surgical, we have demonstrated that infec ted organized pancreatic necrosis can be treated endoscopically. Background: Stenotrophomonas (Xanthomonas) maltophilia has been increasingl y recognized as a nosocomial pathogen associated with meningitis, pneumonia , conjunctivitis, soft tissue infections, endocarditis, and urinary tract i nfections. This organism is consistently resistant to imipenem, a drug comm only employed in patients with necrotizing pancreatitis to prevent local an d systemic infections. Methods and Results: We report the first case of infected pancreatic necros is by S. (X.) maltophilia. Our patient was treated successfully with endosc opic drainage of the pancreatic fluid collection and appropriate antibiogra m-based antibiotic therapy. Endoscopic drainage has emerged as one of the t reatment modalities for pancreatic fluid collections.