title: Sepsis and lung abscess following malposition of an umbilical vein catheter in a neonate.
abstract: BACKGROUND
  Umbilical vein catheterisation is a common and useful procedure in the care of critically ill newborns, but several complications may occur.
  
  
  METHODS
  We report on a newborn, who developed sepsis and necrotizing pneumonia of the right middle lobe due to extended spectrum beta lactamase (ESBL) Klebsiella following malposition of an umbilical vein catheter into a right pulmonary vein.
  
  
  RESULTS
  Due to failed conservative treatment the child required lobectomy of the right middle lobe.
  
  
  CONCLUSIONS
  Our case highlights the importance of exact determination of the position of central catheters by x-ray and/or ultrasound immediately after placement.
authors.affiliation: Department of Hematology and General Pediatrics, University of Tuebingen, Germany.
authors.forename: K
authors.initials: K
authors.lastname: Ihm
authors.forename: A
authors.initials: A
authors.lastname: Bosk
authors.forename: P
authors.initials: P
authors.lastname: Szavay
authors.forename: J
authors.initials: J
authors.lastname: Schaefer
authors.forename: M
authors.initials: M
authors.lastname: Hofbeck
mesh_terms: D002405:Catheterization, Central Venous / Q000295:instrumentation*; D005858:Germany; D006801:Humans; D007231:Infant, Newborn; D007238:Infarction / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D007710:Klebsiella Infections / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D007711:Klebsiella pneumoniae; D008168:Lung / Q000098:blood supply; D008169:Lung Abscess / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008297:Male; D019300:Medical Errors; D009336:Necrosis; D018410:Pneumonia, Bacterial / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D011667:Pulmonary Veins / Q000000981:diagnostic imaging; D018805:Sepsis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014471:Umbilical Veins / Q000000981:diagnostic imaging