A Case Report and Literature Review Anucha Thatrimontrichai ...
A Case Report and Literature Review Anucha Thatrimontrichai ...
A Case Report and Literature Review Anucha Thatrimontrichai ...
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เชื้อเมลิออยด์ในทารกแรกเกิด อนุชา ธาตรีมนตรีชัย<br />
Table 1 Demographic <strong>and</strong> clinical characteristics of 22 documented cases of neonatal melioidosis sorted by year of publication<br />
<strong>Case</strong><br />
Country,<br />
year<br />
Age<br />
at<br />
onset<br />
(days)<br />
PROM<br />
Mode of<br />
delivery<br />
GA<br />
(weeks)<br />
BW<br />
(g)<br />
Mode<br />
of<br />
transmission<br />
Clinical<br />
features<br />
NA,<br />
but<br />
chrioamnionitis<br />
Investigation<br />
Diagnosis<br />
Treatment <strong>and</strong><br />
duration of<br />
antibiotics<br />
therapy<br />
Outcome<br />
1<br />
2<br />
3<br />
4<br />
5<br />
Sex<br />
USA, M<br />
1971 16<br />
Thail<strong>and</strong>, M<br />
1988 10<br />
Thail<strong>and</strong>, F<br />
1988 10<br />
Thail<strong>and</strong>, F<br />
1988 10<br />
Thail<strong>and</strong>, M<br />
1988 10<br />
2<br />
(37 h)<br />
14<br />
14<br />
IAB<br />
IAB<br />
No<br />
No<br />
No<br />
Yes<br />
(1 week)<br />
Forceps<br />
extraction<br />
Forceps<br />
extraction<br />
C/S<br />
due to<br />
placental<br />
previa<br />
totalis<br />
SVD<br />
(criminal<br />
abortion<br />
5 days<br />
before<br />
delivery)<br />
SVD<br />
Term<br />
33<br />
32<br />
32<br />
Preterm<br />
2,977<br />
1,230<br />
1,370<br />
1,340<br />
1,330<br />
NA †<br />
Probably<br />
HCAI<br />
Probably<br />
HCAI<br />
NA<br />
NA<br />
Poor<br />
sucking,<br />
lethargy,<br />
fever,<br />
jaundice,<br />
grunting<br />
Asymptomatic<br />
Respiratory<br />
distress,<br />
apnea,<br />
lethargy<br />
Asymptomatic<br />
Severe<br />
respiratory<br />
distress<br />
NA<br />
WBC6,750<br />
(PMN40%,<br />
B<strong>and</strong>11%)<br />
WBC1,980<br />
(PMN70%,<br />
B<strong>and</strong>17%)<br />
NA<br />
NA<br />
-B. pseudomallei<br />
sepsis <strong>and</strong><br />
meningitis<br />
-Depressed right<br />
frontal skull<br />
fracture<br />
-Pneumonia<br />
-B. pseudomallei<br />
<strong>and</strong> Klebsiella<br />
sepsis<br />
-Twin B, sterile<br />
CSF<br />
-B. pseudomallei<br />
sepsis, sterile CSF<br />
- Omphalitis<br />
-B. pseudomallei<br />
sepsis<br />
-B. pseudomallei<br />
sepsis<br />
-Respiratory<br />
distress syndrome<br />
-Surgery at 3 h<br />
after birth<br />
-Polymyxin B<br />
(parenterally<br />
<strong>and</strong> intrathecally),<br />
9 h<br />
-Cefotaxime<br />
<strong>and</strong> gentamicin,<br />
14 d<br />
-Ceftazidime,<br />
20 d<br />
-Penicillin <strong>and</strong><br />
gentamicin,<br />
10 d<br />
-Penicillin <strong>and</strong><br />
gentamicin,<br />
20 h<br />
Died<br />
(119 h<br />
after<br />
birth)<br />
Recovered<br />
Recovered<br />
Recovered<br />
Died (20<br />
h after<br />
birth)<br />
238<br />
ส§¢ÅÒ¹¤ÃÔ¹·ร์àǪสÒà »‚·Õè 29 ©ºÑº·Õè 5 ก.ย.-ต.ค. 2554
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