A Case Report and Literature Review Anucha Thatrimontrichai ...

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Table 1 (Continued)
Case
Country,
year
11 Australia, M
2004 20
12-19 Thailand,
2004 12
NA
20
Malaysia,
2005 21
F
21
Sex
India, F
2009 11
Age
at
onset
(days)
2
NA
8
IAB
PROM
NA
(mastitis
at 2 nd date
before
delivery)
NA
NA
Yes
Mode of
delivery
SVD
NA
SVD, birth
at home
SVD
GA
(weeks)
37
NA
Term
35
BW
(g)
3,020
NA
2,700
1,900
Mode
of
transmission
Transmitted
from
mother-tochild
§
NA
Probably
communityacquired
NA*
Clinical
features
Fever,
tachypnea,
bradycardia,
hypotension
Fever (100%),
peritonitis
(2/8)
Fever,
progressive
abdominal
distension,
vomiting,
lethargy, poor
feeding, pale,
respiratory
distress,
hypotension
Fever,
grunting,
tachypnea,
lethargy, poor
peripheral
perfusion
Investigation
WBC1,900
Plt.18,000
NA
NA
(normal
LFT, CRP>
12.8 mg/
dl)
WBC4,500
(normal
LFT)
Diagnosis
-B. pseudomallei
sepsis
-Septic shock and
respiratory failure
-B. pseudomallei
sepsis
-B. pseudomallei
sepsis and
pneumonia
-Acute respiratory
distress syndrome
-B. pseudomallei
sepsis
-Bronchopneumonia
Treatment and
duration of
antibiotics
therapy
-Ampicillin and
gentamicin
NA
-Cefotaxime (200
mg/kg/day) and
piperacillin
(200 mg/kg/
day), 2 d then
-Ceftazidime 50
mg/kg/dose
q 12 h
-Ceftriaxone and
gentamicin,
1 d then
-Ceftazidime and
vancomycin,
10 d then
-Amoxicillinclavulanate,
2 weeks
Outcome
Died (5 th
date of
life)
All died
(1 st -3 rd
date after
admission)
Died (30 th
date of
life)
Recovered
240
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