maltophilia produces proteolytic enzymes and other pathogenic extracellular enzymes such as DNAse, RNAse, elastase, lipase, hyaluronidase, mucinase and hemolysin, which may contribute to the severity of S chemo tamoxifen Safarpour S, Pirzadeh M, Ebrahimpour A, Shirafkan F, Madani F, Hosseini M, et al