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Published on: October 29, 2014
Elizabethkingia meningoseptica: Emergent bacteria causing pneumonia in a critically ill child
Paulo Sergio Lucas da Silva1, Graziella Hanna Pereira
1Pediatric Intensive Care Unit Department of Infectious Diseases and Infection Control, Hospital Brigadeiro, São Paulo, Brazil. psls.nat@terra.com.br
Abstract:
Elizabethkingia meningoseptica is an unusual, highly resistant, gram- negative bacillus. While E. meningoseptica-associated meningitis outbreaks have been well-documented in hospital neonatal wards and among immunocompromised adults, reports describing this microorganism in critically ill children are scarce. The purpose of this report was to describe a case of a 3 year-old girl who developed pneumonia caused by E. meningoseptica in the setting of previous use of broad-spectrum antibiotics and to review the pediatric literature regarding this pathogen.
Insights
Elizabethkingia meningoseptica, a resistant gram-negative bacillus, rarely causes severe illness in children. This report details a case of pneumonia in a pediatric patient, highlighting the need for awareness of this pathogen in critically ill children.
Area of Science:
- Pediatric Infectious Diseases
- Microbiology
- Critical Care Medicine
Background:
- Elizabethkingia meningoseptica is an uncommon gram-negative bacillus known for its high resistance.
- While documented in neonatal meningitis and immunocompromised adults, its presence in critically ill children is infrequently reported.
Observation:
- A case study of a 3-year-old girl with pneumonia caused by E. meningoseptica is presented.
- The patient had a history of broad-spectrum antibiotic use prior to developing pneumonia.
Findings:
- This report describes a rare instance of E. meningoseptica pneumonia in a pediatric patient.
- A review of existing pediatric literature on E. meningoseptica is included.
Implications:
- Highlights the potential for E. meningoseptica to cause severe infections in pediatric populations.
- Emphasizes the importance of considering unusual pathogens in critically ill children, especially after broad-spectrum antibiotic exposure.
- Suggests a need for increased clinical vigilance and further research into E. meningoseptica infections in children.
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