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Related Experiment Videos

Chronic polymicrobial bacteremia.

L A Grajwer, D Mukhopadhyay, B J Grossman

    Clinical Pediatrics
    |March 1, 1975
    PubMed
    Summary

    A 13-year-old girl with chronic polymicrobial bacteremia, caused by Enterobacter species, was successfully treated with antibiotics. Management principles for this condition are discussed.

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    Area of Science:

    • Infectious Diseases
    • Microbiology
    • Pediatrics

    Background:

    • Chronic polymicrobial bacteremia is uncommon in children without apparent risk factors.
    • Enterobacter hafnia and Enterobacter agglomerans are opportunistic pathogens.
    • Identifying the source of infection is crucial for effective treatment.

    Purpose of the Study:

    • To present a case of chronic polymicrobial bacteremia in a pediatric patient.
    • To discuss the successful management of this challenging infection.
    • To outline the principles for managing polymicrobial bacteremia.

    Main Methods:

    • A 13-year-old female patient with chronic polymicrobial bacteremia was treated.
    • Treatment involved a prolonged course of carbenicillin and aminoglycoside antibiotics.
    • Patient's response to therapy and any adverse effects were monitored.

    Main Results:

    • Successful eradication of Enterobacter hafnia and Enterobacter agglomerans bacteremia.
    • Antibiotic therapy was well-tolerated.
    • A transient, reversible vestibular dysfunction was the only noted side effect from gentamicin.

    Conclusions:

    • Polymicrobial bacteremia can occur in immunocompetent children without a clear source.
    • Prolonged antibiotic therapy with carbenicillin and aminoglycosides can be effective.
    • Careful monitoring for side effects, such as vestibular dysfunction, is necessary.

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