Document Detail


Late-onset sepsis in a preterm twin may harbinger life-threatening sepsis for the asymptomatic co-twin.
MedLine Citation:
PMID:  19934788     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report extremely preterm twins who developed late-onset Escherichia coli sepsis in the second postnatal week within a short time of each other. The asymptomatic twin was not treated initially, and within 2 days developed life-threatening septicemia and meningitis, followed by other serious morbidity. Occurrence of late-onset sepsis in a twin should prompt concurrent investigation and consideration of presumptive treatment of the apparently asymptomatic co-twin.
Authors:
Jayaram R Pai; Catherine H Tremlett; Paul Clarke
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Pediatric infectious disease journal     Volume:  29     ISSN:  1532-0987     ISO Abbreviation:  Pediatr. Infect. Dis. J.     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-31     Completed Date:  2010-07-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8701858     Medline TA:  Pediatr Infect Dis J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  381-2     Citation Subset:  IM    
Affiliation:
Neonatal Intensive Care Unit, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, United Kingdom.
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MeSH Terms
Descriptor/Qualifier:
Age of Onset
Bacteremia / diagnosis,  drug therapy,  microbiology,  mortality
Diseases in Twins* / drug therapy,  epidemiology,  microbiology,  mortality
Escherichia coli / isolation & purification
Escherichia coli Infections* / diagnosis,  drug therapy,  microbiology,  mortality
Female
Humans
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases* / diagnosis,  drug therapy,  microbiology,  mortality
Infant, Very Low Birth Weight
Male
Meningitis, Escherichia coli* / diagnosis,  drug therapy,  microbiology,  mortality
Sepsis* / diagnosis,  drug therapy,  microbiology,  mortality
Twins, Dizygotic*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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