Acinetobacter baumannii isolation in cerebrospinal fluid in a febrile neonate

We report the isolation of multidrug-resistant Acinetobacter baumannii from the cerebrospinal fluid (CSF) of a neonate suffering from fever and irritability who was initially regarded as aseptic meningitis [CSF analysis: white blood cell (WBC), 14/mm3 (neutrophil 78%); glucose, 41 mg/dl; prot...

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Main Authors: Hoar Lim Jeong, Jung Sook Yeom, Ji Sook Park, Ji Hyun Seo, Eun Sil Park, Jae Young Lim, Chan-Hoo Park, Hyang Ok Woo, Hee-Shang Youn
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2011-08-01
Series:The Turkish Journal of Pediatrics
Online Access:https://turkjpediatr.org/article/view/1798
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author Hoar Lim Jeong
Jung Sook Yeom
Ji Sook Park
Ji Hyun Seo
Eun Sil Park
Jae Young Lim
Chan-Hoo Park
Hyang Ok Woo
Hee-Shang Youn
author_facet Hoar Lim Jeong
Jung Sook Yeom
Ji Sook Park
Ji Hyun Seo
Eun Sil Park
Jae Young Lim
Chan-Hoo Park
Hyang Ok Woo
Hee-Shang Youn
author_sort Hoar Lim Jeong
collection DOAJ
description We report the isolation of multidrug-resistant Acinetobacter baumannii from the cerebrospinal fluid (CSF) of a neonate suffering from fever and irritability who was initially regarded as aseptic meningitis [CSF analysis: white blood cell (WBC), 14/mm3 (neutrophil 78%); glucose, 41 mg/dl; protein, 52 mg/dl]. The normal range of WBC counts in the CSF is fairly wide, and the symptoms of meningitis are nonspecific in this age group. This patient had several risk factors for Acinetobacter infection, including exposure to antibiotics and previous admission to a neonatal care unit; therefore, it was difficult to judge the import of the isolation of A. baumannii from the CSF in this case. With the increasing prevalence of Acinetobacter species in hospital environments, clinicians may thus be confronted with uncertainty regarding whether isolated A. baumannii is a true pathogen or a contaminant. Thus, clinicians should be familiar with the risk factors for Acinetobacter infection and clinical/laboratory findings of clinically significant CSF Acinetobacter isolates.
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issn 0041-4301
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publishDate 2011-08-01
publisher Hacettepe University Institute of Child Health
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series The Turkish Journal of Pediatrics
spelling doaj-art-fd5c2bf4451d497fbda2a2469890108f2025-08-20T02:01:53ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212011-08-01534Acinetobacter baumannii isolation in cerebrospinal fluid in a febrile neonateHoar Lim Jeong0Jung Sook YeomJi Sook ParkJi Hyun SeoEun Sil ParkJae Young LimChan-Hoo ParkHyang Ok WooHee-Shang YounDepartment of Pediatrics, Gyeongsang National University Faculty of Medicine, Jinju, Korea. We report the isolation of multidrug-resistant Acinetobacter baumannii from the cerebrospinal fluid (CSF) of a neonate suffering from fever and irritability who was initially regarded as aseptic meningitis [CSF analysis: white blood cell (WBC), 14/mm3 (neutrophil 78%); glucose, 41 mg/dl; protein, 52 mg/dl]. The normal range of WBC counts in the CSF is fairly wide, and the symptoms of meningitis are nonspecific in this age group. This patient had several risk factors for Acinetobacter infection, including exposure to antibiotics and previous admission to a neonatal care unit; therefore, it was difficult to judge the import of the isolation of A. baumannii from the CSF in this case. With the increasing prevalence of Acinetobacter species in hospital environments, clinicians may thus be confronted with uncertainty regarding whether isolated A. baumannii is a true pathogen or a contaminant. Thus, clinicians should be familiar with the risk factors for Acinetobacter infection and clinical/laboratory findings of clinically significant CSF Acinetobacter isolates. https://turkjpediatr.org/article/view/1798
spellingShingle Hoar Lim Jeong
Jung Sook Yeom
Ji Sook Park
Ji Hyun Seo
Eun Sil Park
Jae Young Lim
Chan-Hoo Park
Hyang Ok Woo
Hee-Shang Youn
Acinetobacter baumannii isolation in cerebrospinal fluid in a febrile neonate
The Turkish Journal of Pediatrics
title Acinetobacter baumannii isolation in cerebrospinal fluid in a febrile neonate
title_full Acinetobacter baumannii isolation in cerebrospinal fluid in a febrile neonate
title_fullStr Acinetobacter baumannii isolation in cerebrospinal fluid in a febrile neonate
title_full_unstemmed Acinetobacter baumannii isolation in cerebrospinal fluid in a febrile neonate
title_short Acinetobacter baumannii isolation in cerebrospinal fluid in a febrile neonate
title_sort acinetobacter baumannii isolation in cerebrospinal fluid in a febrile neonate
url https://turkjpediatr.org/article/view/1798
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