Complejidades por aeromonas y stenotrophomonas en un paciente geriátrico

Abstract

This case report discusses the clinical journey of an 86-year-old male with various pre-existing medical conditions. The patient's admission to the hospital due to COVID-19 pneumonia led to a series of critical events, including ICU admissions, respiratory complications, and challenges in managing his preexisting conditions. Throughout his hospital stay, the patient experienced multiple complications, including respiratory difficulties; upper gastrointestinal bleeding; and neurological, cardiovascular, and gastrointestinal findings. The administration of different antibiotic regimens based on the results of tracheal secretion cultures was a key aspect of his treatment.

Analysis of the involved microorganisms, such as Aeromonas veronii and Stenotrophomonas maltophilia, revealed their role as emerging opportunistic pathogens in aquatic and hospital environments. The virulence of these microorganisms and their antibiotic resistance present significant challenges for clinical management. This case underscores the complexity of clinical management in geriatric patients with multiple preexisting medical conditions. The patient's unfortunate demise underscores the inherent difficulties in managing complex clinical cases, particularly in the elderly. Furthermore, the discussion of antimicrobial resistance in S. maltophilia highlights the need for effective treatment strategies and control measures to address the challenges posed by this bacterium.

This case report sheds light on the relevance of disseminating information about emerging opportunistic infections and the complexities they present in geriatric patients