Streptococcus gallolyticus subspecies pasteurianus causing early onset neonatal sepsis complicated by solitary liver abscess in a preterm infant.

Autor:	Geetha O; Department of Neonatology, KK Women's and Children's Hospital, Singapore.; Duke-NUS Medical School, National University of Singapore, Singapore.; Lee Kong Chian School of Medicine, Singapore.; Yong Loo Lin School of Medicine, Singapore., Cherie C; Department of Pediatrics, KK Women's and Children's Hospital, 100 Bukit Timah Rd, Singapore., Natalie TWH; Duke-NUS Medical School, National University of Singapore, Singapore.; Lee Kong Chian School of Medicine, Singapore.; Yong Loo Lin School of Medicine, Singapore.; Department of Pediatrics, KK Women's and Children's Hospital, 100 Bukit Timah Rd, Singapore., Merchant K; Duke-NUS Medical School, National University of Singapore, Singapore.; Department of Pathology and Laboratory Medicine, KK Women's and Children's Hospital, 100 Bukit Timah Rd, Singapore., Chien CM; Department of Neonatology, KK Women's and Children's Hospital, Singapore.; Duke-NUS Medical School, National University of Singapore, Singapore.; Lee Kong Chian School of Medicine, Singapore.; Yong Loo Lin School of Medicine, Singapore., Chandran S; Department of Neonatology, KK Women's and Children's Hospital, Singapore.; Duke-NUS Medical School, National University of Singapore, Singapore.; Lee Kong Chian School of Medicine, Singapore.; Yong Loo Lin School of Medicine, Singapore.
Jazyk:	angličtina
Zdroj:	Access microbiology [Access Microbiol] 2021 Feb 03; Vol. 3 (3), pp. 000200. Date of Electronic Publication: 2021 Feb 03 (Print Publication: 2021).
DOI:	10.1099/acmi.0.000200
Abstrakt:	Streptococcus gallolyticus ssp pasteurianus (SGp ) is an uncommon but increasingly recognized cause of neonatal sepsis and meningitis. Liver abscess in neonates is extremely rare. But liver abscess due to SG has never been reported in the literature. We present the first case of liver abscess due to SGp in a late preterm infant. A female infant was born at 36 weeks via normal vaginal delivery to a mother with unremarkable antenatal history. She had progressively worsening respiratory distress since birth and was intubated at 13 h of life. One dose of surfactant was delivered and ventilation continued. Parenteral crystalline Penicillin and Gentamicin were initiated and her blood culture at birth grew SGp . She had a spike of fever on day 5 of life. An ultrasound (US) scan of the abdomen was included in the septic work up. A multi-septated cystic liver abscess was noted in the right lobe of the liver. As there was inadequate response to appropriate intravenous antibiotics, needle aspiration and biopsy were performed on day 35 of life. Aspirate was sterile and histopathology confirmed a liver abscess. The patient continued to be treated with antibiotics for 8 weeks with serial US scans of the liver showing resolution of the abscess. Increasing awareness among paediatric and neonatal fraternity about these new emerging bacterial infections can facilitate early diagnosis and treatment. Competing Interests: The authors declare that there are no conflicts of interest. (© 2021 The Authors.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu