title: An outbreak of neonatal sepsis presenting with exanthematous rash caused by Klebsiella pneumoniae.
abstract: Newborns often present with skin conditions ranging from transient benign to severe. An occasional cause of neonatal exanthemic rash is infection due to Gram-positive bacteria, but Gram-negative infection is uncommon. We describe an outbreak of sepsis in 10 neonates over a 2-week period, caused by Klebsiella pneumoniae in a level III neonatal intensive care unit (NICU). Seven babies developed an exanthematous maculopapular rash. Molecular analysis by pulsed-field gel electrophoresis showed that all the babies with rash were infected by a single strain of K. pneumoniae which was distinct from the strain recovered from babies without rash.
authors.affiliation: Department of Neonatology, Institute of Post Graduate Medical Education and Research, Kolkata, India.
authors.forename: R
authors.initials: R
authors.lastname: Viswanathan
authors.forename: A K
authors.initials: AK
authors.lastname: Singh
authors.forename: S
authors.initials: S
authors.lastname: Mukherjee
authors.forename: R
authors.initials: R
authors.lastname: Mukherjee
authors.forename: P
authors.initials: P
authors.lastname: DAS
authors.forename: S
authors.initials: S
authors.lastname: Basu
mesh_terms: D003428:Cross Infection / Q000382:microbiology; D004196:Disease Outbreaks; D005076:Exanthema / Q000382:microbiology* / Q000473:pathology; D006801:Humans; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D007710:Klebsiella Infections / Q000453:epidemiology / Q000382:microbiology* / Q000473:pathology; D007711:Klebsiella pneumoniae; D018805:Sepsis / Q000382:microbiology* / Q000473:pathology*