Multi-drug-resistant Elizabethkingia meningoseptica : a rare cause of late-onset sepsis in a preterm neonate
Hashmi, Abdul Wasey Ahmad, Muhammad Israr, Muhammad Muneeb Fajar, Ibtesam E Adnan, Farid
Hashmi, Abdul Wasey
Ahmad, Muhammad
Israr, Muhammad Muneeb
Fajar, Ibtesam E
Adnan, Farid
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Affiliation
Shalamar Medical and Dental College; Bahawal Victoria Hospital; Bahawal Victoria Hospital; Walsall Healthcare NHS Trust; The Royal Wolverhampton NHS Trust
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Publication date
2023-01-29
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Abstract
Elizabethkingia meningoseptica is a gram-negative bacillus and is a rare cause of opportunistic infections. Literature shows that this gram-negative bacillus may cause early-onset sepsis in neonates and immunocompromised adults; however, it is a rare cause of late-onset sepsis or meningitis in neonates. We hereby delineate a case of a preterm neonate, born at 35 weeks of gestation, presenting to us on the eleventh day after birth, with fever, tachycardia, and delayed reflexes. The neonate was managed in the neonatal intensive care unit (NICU). Initial laboratory tests, blood, and cerebrospinal fluid (CSF) cultures showed evidence of late-onset sepsis due to multi-drug-resistant E. meningoseptica sensitive to vancomycin and ciprofloxacin. The patient completed the antibiotic therapy and was discharged from the hospital. The patient was followed up at one and two months after discharge in the tele-clinic and was thriving well with no complaints.
Citation
Hashmi AW, Ahmad M, Israr MM, Fajar IE, Adnan F. Multi-Drug-Resistant Elizabethkingia meningoseptica: A Rare Cause of Late-Onset Sepsis in a Preterm Neonate. Cureus. 2023 Jan 29;15(1):e34361
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Article