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Necrotizing bowel lesions complicated by Pseudomonas septicaemia in previously healthy infants
1Department of Paediatrics, National Taiwan University Hospital, Taipei, ROC.
Insights
Necrotizing bowel lesions in infants can signal Pseudomonas aeruginosa sepsis. Early suspicion and appropriate antibiotic coverage are crucial for preventing severe outcomes in these critical cases.
Area of Science:
- Pediatric Infectious Diseases
- Neonatalogy
- Gastroenterology
Background:
- Pseudomonas septicaemia can lead to severe complications in infants.
- Necrotizing bowel lesions are a serious manifestation requiring prompt recognition.
Unlabelled:
Two previously healthy infants with Pseudomonas septicaemia presented with necrotizing bowel lesions. Necrotizing bowel lesions should be suspected when infants presenting with a history of diarrhoea, develop abdominal distension and toxic signs. Pseudomonas aeruginosa should be regarded as one of the important aetiologies in such disorders, especially if there is associated neutropenia and ecthyma gangrenosum-like lesions. Antibiotics must be able to cover this pathogen to avert a catastrophic outcome.
Conclusion:
The intestine should be considered a possible site of involvement in Pseudomonas sepsis and special attention should be paid to examination of the abdomen.