title: Kluyvera ascorbata sepsis in an extremely low birth weight infant.
abstract: Kluyvera ascorbata belongs to Enterobacteriaceae family and is a gram negative micro-organism. This bacteria is usually considered a commensal, however it can cause significant infections rarely. This organism is usually resistant to most commonly used antibiotics used as first line in neonatal units. Antimicrobial agents active against Kluyvera strains include third-generation cephalosporins, fluoroquinolones, and aminoglycosides. We report a case of an extremely low birth weight male infant who presented on day 4 of life with clinical features of sepsis, multi-organ dysfunction, shock and pulmonary haemorrhage. Neonatal sepsis was associated with marked elevation of C-reactive protein and a falling platelet count. Infant expired on day 5 of life in spite of aggressive supportive care and treatment with meropenem. with growth of Kluyvera ascorbataon blood culture.
authors.affiliation: Department of Neonatology, Fernandez Hospital, Hyderguda, Hyderabad - 500 029, Telangana, India.
authors.forename: D
authors.initials: D
authors.lastname: Sharma
authors.forename: T
authors.initials: T
authors.lastname: Dasi
authors.forename: S
authors.initials: S
authors.lastname: Murki
authors.forename: T P
authors.initials: TP
authors.lastname: Oleti
mesh_terms: D004756:Enterobacteriaceae Infections / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology*; D017809:Fatal Outcome; D006801:Humans; D052577:Infant, Extremely Low Birth Weight; D007231:Infant, Newborn; D044086:Kluyvera / Q000145:classification / Q000302:isolation & purification*; D008297:Male; D018805:Sepsis / Q000209:etiology* / Q000382:microbiology / Q000473:pathology*