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Case Reports
Early neonatal sepsis and meningitis caused by Elizabethkingia meningoseptica in Saudi Arabia.
- Ashwaq I Barnawi, Faisal N Kordy, Ohoud K Almuwallad, and Khloud A Kassarah.
- Department of Pediatrics, Madina Maternity & Children's Hospital, Al-Madina Al-Munawara, Kingdom of Saudi Arabia. E-mail. ha_modi1430@hotmail.com.
- Saudi Med J. 2020 Jul 1; 41 (7): 753-756.
AbstractElizabethkingia meningoseptica (E. meningoseptica ) are Gram-negative bacteria commonly associated with nosocomial infections in neonates. This is a case study of E. meningoseptica, presented as meningitis and sepsis in a term baby. The female infant was born by vaginal delivery at 37 weeks gestational age. The case was peculiar because the baby was neither premature nor immuno-compromised, which are known risk factors for E. meningoseptica infection. The onset began on the second day of the neonate's life. On day 3, peripheral blood culture and cerebrospinal fluid findings isolated a gram-negative bacteria identified as E. meningoseptica. The first-line antibiotics therapy was changed to ciprofloxacin, vancomycin, and rifampicin, based on the laboratory determination of antimicrobial sensitivity. The patient's clinical condition improved, although post hemorrhagic ventricular dilatation was revealed by imaging studies. Clinicians should possess proper awareness of the antibiotic sensitivity of E. meningoseptica, as it is important in preventing high rates of morbidity and mortality.
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