A case of septicemia due to Enterococcus faecium in infant.

概要

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Incidence of isolation from clinical material of Enterococcus sp. has been recently increased, and among them Enterococcus faecium is recieved much attention because of its resistance to various antibiotics. Enterococcus faecium septicemia are occasionaly observed in newborns and premature infants, infected during vaginal delivery or as nosocomial infection. However septicemia due to the organism in infants were rarely reported. We report a case of septicemia due to E. faecium in a infant. A 7-month-old boy, without any underlying disease, was referred to our hospital because of continuous high fever and of general marasmus. On admission, he was drowsy and could not eat anything. The skin was dry and poor. turgor. The erythrocyte sedimentation rate was 70mm/hr, the WBC count was 20, 000/cmm, CRP reaction was +6, and level of α<SUB>2</SUB>-globurin was elevated. CSF and urine were normal. Although the patient was treated with ABPC initially, high fever was continued and his general condition was not ameliorated. On the 3rd hospital day, Enterococcus faecium was isolated from blood on admission. The isolate was resistant penicillins and cephems, while sensitive to chloramphenicol alone. Then treatment with CP was started, the temperature returened normal two days later and clinical improvement was noted.
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