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Arthritis, osteomyelitis, septicemia and meningitis caused by Klebsiella in a low-birth-weight newborn: a case report

INTRODUCTION: Klebsiella pneumoniae is in most cases a hospital-acquired infection and presents as pneumonia, septicemia and meningitis in patients with some predisposing factors, including prematurity, intravenous catheter, history of antibiotic therapy and intravenous nutrients. CASE PRESENTATION:...

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Autores principales: Ghorashi, Ziaaedin, Nezami, Nariman, Hoseinpour-feizi, Hamideh, Ghorashi, Sona, Tabrizi, Jafar Sadegh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3141700/
https://www.ncbi.nlm.nih.gov/pubmed/21707974
http://dx.doi.org/10.1186/1752-1947-5-241
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author Ghorashi, Ziaaedin
Nezami, Nariman
Hoseinpour-feizi, Hamideh
Ghorashi, Sona
Tabrizi, Jafar Sadegh
author_facet Ghorashi, Ziaaedin
Nezami, Nariman
Hoseinpour-feizi, Hamideh
Ghorashi, Sona
Tabrizi, Jafar Sadegh
author_sort Ghorashi, Ziaaedin
collection PubMed
description INTRODUCTION: Klebsiella pneumoniae is in most cases a hospital-acquired infection and presents as pneumonia, septicemia and meningitis in patients with some predisposing factors, including prematurity, intravenous catheter, history of antibiotic therapy and intravenous nutrients. CASE PRESENTATION: A low-birth-weight, 33-day-old Caucasian girl with respiratory distress syndrome was admitted to our hospital. She developed septicemia, meningitis, polyarticular arthritis and osteomyelitis by nosocomial K. pneumoniae which was resistant to most antibiotics except ciprofloxacin. She was therefore treated with ciprofloxacin and co-trimoxazole for eight weeks. After completion of the treatment course, she completely improved with excellent weight gain and without any adverse effects during three years of follow-up. CONCLUSION: In the resistant strain of K. pneumoniae, ciprofloxacin could be considered as a therapeutic option with the prospect of a good outcome, even in neonates and infants.
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spelling pubmed-31417002011-07-23 Arthritis, osteomyelitis, septicemia and meningitis caused by Klebsiella in a low-birth-weight newborn: a case report Ghorashi, Ziaaedin Nezami, Nariman Hoseinpour-feizi, Hamideh Ghorashi, Sona Tabrizi, Jafar Sadegh J Med Case Reports Case Report INTRODUCTION: Klebsiella pneumoniae is in most cases a hospital-acquired infection and presents as pneumonia, septicemia and meningitis in patients with some predisposing factors, including prematurity, intravenous catheter, history of antibiotic therapy and intravenous nutrients. CASE PRESENTATION: A low-birth-weight, 33-day-old Caucasian girl with respiratory distress syndrome was admitted to our hospital. She developed septicemia, meningitis, polyarticular arthritis and osteomyelitis by nosocomial K. pneumoniae which was resistant to most antibiotics except ciprofloxacin. She was therefore treated with ciprofloxacin and co-trimoxazole for eight weeks. After completion of the treatment course, she completely improved with excellent weight gain and without any adverse effects during three years of follow-up. CONCLUSION: In the resistant strain of K. pneumoniae, ciprofloxacin could be considered as a therapeutic option with the prospect of a good outcome, even in neonates and infants. BioMed Central 2011-06-27 /pmc/articles/PMC3141700/ /pubmed/21707974 http://dx.doi.org/10.1186/1752-1947-5-241 Text en Copyright ©2011 Ghorashi et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Ghorashi, Ziaaedin
Nezami, Nariman
Hoseinpour-feizi, Hamideh
Ghorashi, Sona
Tabrizi, Jafar Sadegh
Arthritis, osteomyelitis, septicemia and meningitis caused by Klebsiella in a low-birth-weight newborn: a case report
title Arthritis, osteomyelitis, septicemia and meningitis caused by Klebsiella in a low-birth-weight newborn: a case report
title_full Arthritis, osteomyelitis, septicemia and meningitis caused by Klebsiella in a low-birth-weight newborn: a case report
title_fullStr Arthritis, osteomyelitis, septicemia and meningitis caused by Klebsiella in a low-birth-weight newborn: a case report
title_full_unstemmed Arthritis, osteomyelitis, septicemia and meningitis caused by Klebsiella in a low-birth-weight newborn: a case report
title_short Arthritis, osteomyelitis, septicemia and meningitis caused by Klebsiella in a low-birth-weight newborn: a case report
title_sort arthritis, osteomyelitis, septicemia and meningitis caused by klebsiella in a low-birth-weight newborn: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3141700/
https://www.ncbi.nlm.nih.gov/pubmed/21707974
http://dx.doi.org/10.1186/1752-1947-5-241
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