Unusual Case of Infant Septicemia Involving Burkholderia cepacia

Jun 18th, 2015
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The following is case study involving Burkholderia (Pseudomonas) cepacia as both rare and unusual causative agent of infant septicemia. This organism is nonfermentative gram negative rod that is mainly associated with respiratory infections of elderly and immunocompromised patients with serious pulmonary problems. The only cases in which B. cepacia has been reported as a cause of infection among children involves cystic fibrosis (CF) patients and nosocomial neonatal outbreaks. However, the only health complications this child has had are reoccurring infections of urinary tract and otitis media. The patient was first seen at a walk-in clinic with fever, lethargy, and suspected UTI for which she was treated with antibiotics. Unfortunately, the mother failed to bring the infant back for follow-up. About one month later, the child was taken to the ED and hospitalized. During first days of hospitalization, the infant had negative urine and blood cultures.

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Unusual Case of Infant Septicemia Involving Burkholderia cepaciaLisa ClevelandDepartment of Clinical Laboratory SciencesSchool of Health Related ProfessionsUniversity of Mississippi Medical CenterJackson, MS 39216lcleveland@shrp.umsmed.eduAbstractThe following is case study involving Burkholderia (Pseudomonas) cepacia as both rare and unusual causative agent of infant septicemia. This organism is nonfermentative gram negative rod that is mainly associated with respiratory infections of elderly and immunocompromised patients with serious pulmonary problems. The only cases in which B. cepacia has been reported as a cause of infection among children involves cystic fibrosis (CF) patients and nosocomial neonatal outbreaks. However, the only health complications this child has had are reoccurring infections of urinary tract and otitis media. The patient was first seen at a walk-in clinic with fever, lethargy, and suspected UTI for which she was treated with antibiotics. Unfortunately, the mother failed to bring the infant back for follow-up. About one month later, the child was taken to the ED and hospitalized. During first days of hospitalization, the infant had negative urine and blood cultures. However, the childs white cell count was gradually increasing. Thus, on the fourth day the infant had a fever spike of 104F in which blood cultures were collected for three consecutive days and resulted in isolation of B. cepaica.Among children, uri

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