RESUMO
A premature baby developed a testicular abscess on day 28 of life. The pus aspirated from the abscess grew a mixture of beta hemolytic Streptococcus and a Bacteroides species. The source of this infection could not be identified. The baby improved on antibiotic therapy. This is the first reported case of a polymicrobial testicular infection involving an anaerobe in a neonate. The relevant literature is reviewed.
Assuntos
Infecções por Bacteroides/congênito , Doenças do Prematuro/diagnóstico , Infecções Estreptocócicas/congênito , Doenças Testiculares/congênito , Infecções por Bacteroides/diagnóstico , Humanos , Recém-Nascido , Doenças do Prematuro/microbiologia , Masculino , Infecções Estreptocócicas/diagnóstico , Doenças Testiculares/diagnósticoAssuntos
Bacteriemia/microbiologia , Infecções por Bacteroides/congênito , Bacteroides fragilis/isolamento & purificação , Pneumonia/congênito , Bacteriemia/terapia , Infecções por Bacteroides/microbiologia , Infecções por Bacteroides/terapia , Feminino , Humanos , Recém-Nascido , Masculino , Pneumonia/microbiologia , Pneumonia/terapiaRESUMO
The presence of bacteria in tracheal secretions stained by the Gram method was evaluated as a method of predicting neonatal bacteremia. The presence of bacteria had a 74% sensitivity and a 47% predictive accuracy in identifying neonates with bacteremia before 12 hours of age. The specificity in predicting newborns without bacteremia was 98%. In the same neonates, an immature neutrophil-total neutrophil ratio of 0.2 or more had a 77% sensitivity in predicting neonates with bacteremia. Neonates with bacteria in their blood and tracheal aspirates, who died shortly after birth, had pneumonia on postmortem examination. In newborns who have respiratory distress and a risk of infection at birth, Gram's stains of tracheal secretions are a practical and useful method of predicting congenital bacteremia.
