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 />
pediatric melioidosis who were bacteremia was<br />
reported to be between 25-80%. 4,14,15 There was no<br />
mortality reported in localized infection 4,14 There<br />
was no report of relapsed infection in survived<br />
newborns <strong>and</strong> some patients were not elucidated.<br />
Burkholderia pseudomallei has unusual<br />
antimicrobial susceptibility patterns. It is resistant<br />
to aminoglycosides except kanamycin, <strong>and</strong> sensitive<br />
to the cefazidine, amoxycillin/clavulanate, <strong>and</strong><br />
carbapenems. There have been no guidelines of<br />
types of antibiotic <strong>and</strong> duration of therapy available<br />
for neonatal melioidosis.<br />
Conclusion<br />
Melioidosis is a rare bacterial infection in<br />
neonates <strong>and</strong> should be considered in the cases<br />
of sepsis. We hope this report alerts general<br />
pediatricians <strong>and</strong> neonatologists, especially in<br />
endemic areas, to consider melioidosis as a<br />
possible cause of sepsis in neonates.<br />
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242<br />
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