Kurniawan Taufiq Kadafi, Saptadi Yuliarto, Haryudi Aji Cahyono, Irene Ratridewi, Takhta Khalasha
Introduction: Elizabethkingia meningoseptica is a Gram-negative Bacillus associated with various nosocomial infections. These bacteria cause meningitis, sepsis, bacteremia, pneumonia, infections of the skin and soft tissue, ocular infections, sinusitis, epididymitis, and endocarditis. They can be opportunistic pathogens in newborns and immunocompromised patients. Case Presentation: The current study reported a case of bacteremia caused by E. meningoseptica in an infant presented with clinical presentations suggestive of necrotizing fasciitis with cerebral salt wasting and disseminated intravascular coagulation. Based on clinical diagnosis and preliminary blood culture report, the patient started receiving intravenous antibiotic (cefepime plus flu-drocortisone) and fluid therapy for electrolyte imbalance. The patient also had fasciotomy and an amputation through the distal phalanges due to necrotizing fasciitis. The patient improved clinically after eight weeks of treatment. Conclusions: E. meningoseptica bacteremia is commonly associated with complications; therefore, an appropriate and adequate antibiotic therapy, and also intensive care procedures and multidisciplinary interventions were crucial for the management of this case. © 2020, Pediatric Infection Research Center. All rights reserved.
Department of Pediatric, Division of Pediatric Critical Care, University of Brawijaya, Malang, Indonesia; Department of Pediatric, Division of Endocrinology, University of Brawijaya, Malang, Indonesia; Department of Pediatric, Division of Pediatric Infectious Diseases, University of Brawijaya, Malang, Indonesia; Department of Biomedical Science, University of Brawijaya, Malang, Indonesia
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