title: Septicemia, meningitis, and skull osteomyelitis complicating infected cephalhematoma caused by ESBL-producing Escherichia coli.
abstract: An infected cephalhematoma is a rare condition in neonates. We report a case of an 18-day-old neonate who was diagnosed with an infected cephalhematoma caused by an extended spectrum beta-lactamase (ESBL)-producing Escherichia coli complicated with septicemia, meningitis, and skull osteomyelitis. He was successfully treated with meropenem and surgical incision and drainage. ESBL-producing E. coli may cause infection of a cephalhematoma in neonates.
authors.affiliation: Neonatal Intensive Care Unit, Department of Pediatrics, Hat Yai Medical Education Center, Hat Yai Hospital, Songkhla, Thailand. nnakwan@hotmail.com
authors.forename: Narongsak
authors.initials: N
authors.lastname: Nakwan
authors.forename: Narongwit
authors.initials: N
authors.lastname: Nakwan
authors.forename: Jeerawan
authors.initials: J
authors.lastname: Wannaro
authors.forename: Pathikan
authors.initials: P
authors.lastname: Dissaneevate
authors.forename: Supika
authors.initials: S
authors.lastname: Kritsaneepaiboon
authors.forename: Kulkanya
authors.initials: K
authors.lastname: Chokephaibulkit
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004322:Drainage / Q000379:methods; D004926:Escherichia coli / Q000201:enzymology* / Q000302:isolation & purification; D006406:Hematoma / Q000150:complications / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D020814:Meningitis, Escherichia coli / Q000150:complications / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D000077731:Meropenem; D010019:Osteomyelitis / Q000150:complications / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D018805:Sepsis / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*; D012886:Skull / Q000382:microbiology / Q000473:pathology / Q000601:surgery; D013845:Thienamycins / Q000627:therapeutic use; D001618:beta-Lactamases / Q000096:biosynthesis
chemical_list: D000900:Anti-Bacterial Agents; D013845:Thienamycins; D001618:beta-Lactamases; D000077731:Meropenem