01.12.2011 | Case report | Ausgabe 1/2011 Open Access
Arthritis, osteomyelitis, septicemia and meningitis caused by Klebsiella in a low-birth-weight newborn: a case report
- Zeitschrift:
- Journal of Medical Case Reports > Ausgabe 1/2011
Wichtige Hinweise
Electronic supplementary material
The online version of this article (doi:10.1186/1752-1947-5-241) contains supplementary material, which is available to authorized users.
Competing interests
The authors declare that they have no competing interests.
Authors' contributions
ZG, HH and SG collected the patient data and participated in the patient's hospitalization and treatment process. NN was a major contributor in writing the manuscript. JST helped to revise and edit the manuscript. All authors read and approved the final manuscript.
Abstract
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.