頁籤選單縮合
題名 | Chryseobacterium Meningosepticum Neonatal Infection: A Case Report |
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作 者 | Chen, Ken-chun; Chang, Lo-yi; Chen, Chun-jen; Lee, Yu-sheng; Soong, Wen-jue; Jeng, Mei-jy; | 書刊名 | Journal of Pediatric Respiratory Disease |
卷期 | 10:3 2014.09[民103.09] |
頁次 | 頁59-62 |
分類號 | 417.5157 |
關鍵詞 | Neonatal infection; Chryseobacterium meningosepticum; Meningitis; Sepsis; |
語文 | 英文(English) |
英文摘要 | Chryseobacteria has been described as an etiological agent of meningitis, sepsis, bacteremia, and pneumonia. This organism is highly pathogenic in immunocompromised individuals and neonates. Its multi-drug resistant nature caused optimal drug selections for the patient very difficult. We report here a male neonate with bacteremia and meningitis caused by Chryseobacterium meningosepticum. The organism was multi-drug resistant. When the baby came to our hospital, he presented with fever, poor activity, slightly bulging of anterior fontanel, and leukocytosis in the cerebral spinal fluid (CSF). Chryseobacterium meningosepticum was isolated from both CSF and blood samples. In addition, Cosackie B6 virus was isolated from the nasophargeal swab as well. The patient was successfully treated with threecombined antibiotics, including ciprofloxacin, vancomycin, and flomoxef. There was no neurological sequela at the 1-year follow-up. This case give us an important information that Chryseobacterium meningosepticum infection should be taken into consideration when a newborn infant has symptoms of meningitis, and appropriate antibiotics treatment is important for optimizing patient’s outcome.(J Pediatr Resp Dis 2014;10:59-62) |
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