Acute necrotizing ulcerative gingivitis and bacteremia caused by Stenotrophomonas maltophilia in an immunocompromised host

Pediatr Infect Dis J. 2005 Feb;24(2):181-3. doi: 10.1097/01.inf.0000151038.82538.de.

Abstract

An 8-year-old girl with leukemia developed acute necrotizing ulcerative gingivitis with Stenotrophomonas maltophilia and herpes simplex virus. Progression to bacteremia with pathologic evidence of osteomyelitis occurred despite appropriate antimicrobial therapy. This case highlights the importance of prompt recognition, debridement and appropriate therapy in immunocompromised patients with acute necrotizing ulcerative gingivitis.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Bacteremia / microbiology*
  • Burkitt Lymphoma / complications*
  • Child
  • Female
  • Gingivitis, Necrotizing Ulcerative / microbiology*
  • Gingivitis, Necrotizing Ulcerative / virology*
  • Gram-Negative Bacterial Infections / etiology*
  • Herpes Simplex / etiology
  • Humans
  • Opportunistic Infections / etiology
  • Stenotrophomonas maltophilia / isolation & purification*