High-output pulmonary fistula with lobar cavitation and acute kidney injury in community-acquired methicillin-resistant Staphylococcus aureus infection Stenotropas maltophilia associated: A Case Report

Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) causes pneumonia, septic shock, and renal dysfunction. We generally fail to find cases addressing uncommon strains in conjunction, like Stenotropas maltophilia. We described a young soldier transferred from a military hospital that treated a small calcaneus wound progressing to acute respiratory and renal failure. Upon arrival, a high-output pulmonary fistula with lobar cavitation was diagnosed. A video-assisted bilateral surgical decortication, intermittent renal replacement, and culture-guided antibiotics therapy were performed. After nutritional requirements, hemodynamic improvement, and complex extubation were met, the patient remained in the infirmary with subsequent transfer to the hospital of origin.