title: Klebsiella pneumonia: An unusual cause of ophthalmia neonatorum in a healthy newborn.
abstract: Ophthalmia neonatorum is one of the most common infections during the neonatal period. Chlamydia trachomatis and Neisseria gonorrhoea must be ruled out, given their high virulence and systemic complications. We describe a case of ophthalmia neonatroum from Klebsiella pneumonia. Gram-negative organisms have been reported in hospital-acquired conjunctivitis (HAC), but we are unaware of any published reports of K. pneumonia conjunctivitis in an otherwise healthy full-term infant born in the United States who has received prophylaxis. It is important to promptly identify and treat Klebsiella conjunctivitis because it can lead to severe complications.
authors.affiliation: Department of Ophthalmology, Duke University, Durham, North Carolina. Electronic address: jaya.badhwar@dm.duke.edu.
authors.forename: Jaya B
authors.initials: JB
authors.lastname: Kumar
authors.affiliation: Department of Ophthalmology, Duke University, Durham, North Carolina.
authors.forename: Evan
authors.initials: E
authors.lastname: Silverstein
authors.affiliation: Department of Ophthalmology, Duke University, Durham, North Carolina.
authors.forename: David K
authors.initials: DK
authors.lastname: Wallace
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D007231:Infant, Newborn; D007710:Klebsiella Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D007711:Klebsiella pneumoniae / Q000302:isolation & purification*; D008297:Male; D009878:Ophthalmia Neonatorum / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D009883:Ophthalmic Solutions; D014031:Tobramycin / Q000627:therapeutic use
chemical_list: D000900:Anti-Bacterial Agents; D009883:Ophthalmic Solutions; D014031:Tobramycin