Ramaswamy Viraraghavan Vadakkencherry, Gummadapu Sanghamitra, Suryanarayana Nori
Neonatology, Nori Multispeciality Hospital, Vijayawada, Andhra Pradesh, India.
BMJ Case Rep. 2019 Jul 11;12(7):e229854. doi: 10.1136/bcr-2019-229854.
A late preterm male infant of 36 weeks gestation and a birth weight of 2100 g was admitted on day 35 of life with complaints of respiratory distress and lethargy. He was diagnosed as a case of sepsis screen positive culture negative sepsis and was managed with respiratory support and intravenous antibiotics for 10 days. The infant improved clinically and was on spoon feeds by day 14 of admission. On day 14 of admission, he developed new-onset respiratory distress and was diagnosed as a case of nosocomial pneumonia based on chest radiography findings. The blood culture grew a rare organism and a diagnosis of sepsis was also made. The antibiotics were tailored as per the blood culture sensitivity pattern and the infant had clinical improvement in the next 72 hours.
一名孕36周、出生体重2100克的晚期早产儿在出生后第35天因呼吸窘迫和嗜睡入院。他被诊断为脓毒症筛查阳性、培养阴性脓毒症，接受了呼吸支持和静脉抗生素治疗10天。婴儿临床症状有所改善，入院第14天时开始用勺子喂食。入院第14天，他出现新发呼吸窘迫，根据胸部X光检查结果被诊断为医院获得性肺炎。血培养培养出一种罕见微生物，也诊断为脓毒症。根据血培养药敏结果调整了抗生素，婴儿在接下来的72小时内临床症状有所改善。
