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Bacillus cereus bacteremia in a preterm neonate
Nicholaus J Hilliard1, Robert L Schelonka, Ken B Waites
1Department of Pathology, University of Alabama at Birmingham, Birmingham, Alabama 35249, USA.
Journal of Clinical Microbiology
|July 5, 2003
Summary
Bacillus cereus can cause serious infections in preterm infants. This case highlights successful treatment of Bacillus cereus bacteremia in a neonate using multiple antibiotics.
Area of Science:
- Medical Microbiology
- Neonatal Infectious Diseases
Background:
- Bacillus cereus is an uncommon pathogen.
- It can cause severe infections in preterm neonates, including bloodstream, lung, and CNS infections.
Observation:
- A case of Bacillus cereus bacteremia in a 19-day-old preterm neonate is presented.
- The neonate received treatment with vancomycin, tobramycin, meropenem, and clindamycin.
Findings:
- Successful treatment of Bacillus cereus bacteremia was achieved with a combination of antibiotics.
- This case adds to the limited literature on Bacillus cereus infections in infants.
Implications:
- Highlights the importance of considering Bacillus species in neonatal infections.
- Discusses diagnostic laboratory and clinical management strategies for Bacillus species in normally sterile sites.
- Emphasizes the need for prompt diagnosis and appropriate antimicrobial therapy in neonates.