Refractory shock secondary to treatment with levofloxacin in an extremely low birth weight infant affected by Stenotrophomonas maltophilia pneumonia

Abstract: Stenotrophomonas maltophilia is an important but rare cause of late onset neonatal sepsis in extremely low birth weight (ELBW) infants. These infections are difficult to treat due to the multiple drug resistance profile of the organism. One class of antibiotics available for use is the quinolones, such as ciprofloxacin and levofloxacin. However, the limited experience and known toxicity of levofloxacin raises further concerns regarding its use in this patient population. We present a case of refractory shock in an ELBW infant following the use of levofloxacin to treat S. maltophilia infection. The use of levofloxacin in ELBW infants may be associated with major hemodynamic compromise and, accordingly, we recommend caution for its use in this patient population.

Object Details

• Location: Deutsche Nationalbibliothek Frankfurt am Main
• Extent: Online-Ressource
• Language: Englisch

References and Relationships

• Bibliographic citation: Refractory shock secondary to treatment with levofloxacin in an extremely low birth weight infant affected by Stenotrophomonas maltophilia pneumonia ; volume:4 ; number:1 ; year:2015 ; pages:69-71 ; extent:3 ; Case reports in perinatal medicine ; 4, Heft 1 (2015), 69-71 (gesamt 3)

Contributors, Places and Time

• Creator: Leante-Castellanos, José Luis ; Zamora-Gimeno, María Jesús ; Gonzálvez-Candela, María José ; Chica-Marchal, Amelia ; Fuentes-Gutiérrez, Carmen ; Lloreda-García, José María

Further information

• DOI: 10.1515/crpm-2013-0063
• URN: urn:nbn:de:101:1-2411121507452.833935864795
• Rights: Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
• Last update: 15.08.2025, 7:28 AM CEST