• Klinische Pädiatrie · Mar 2009

    Sepsis and lung abscess following malposition of an umbilical vein catheter in a neonate.

    • K Ihm, A Bosk, P Szavay, J Schaefer, and M Hofbeck.
    • Department of Hematology and General Pediatrics, University of Tuebingen, Germany.
    • Klin Padiatr. 2009 Mar 1; 221 (2): 76-7.

    BackgroundUmbilical vein catheterisation is a common and useful procedure in the care of critically ill newborns, but several complications may occur.PatientsWe report on a newborn, who developed sepsis and necrotizing pneumonia of the right middle lobe due to extended spectrum beta lactamase (ESBL) Klebsiella following malposition of an umbilical vein catheter into a right pulmonary vein.ResultsDue to failed conservative treatment the child required lobectomy of the right middle lobe.ConclusionOur case highlights the importance of exact determination of the position of central catheters by x-ray and/or ultrasound immediately after placement.

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