Case Report

First report of neonatal bacteraemia caused by bla_NDM-1 Raoultella ornithinolytica

Published in: Southern African Journal of Infectious Diseases
Volume 32 , issue 2 , 2017 , pages: 40–42

DOI: 10.1080/23120053.2016.1210939

Author(s): Yesholata Mahabeer Department of Medical Microbiology, South Africa , Ashika Singh-Moodley Centre for Opportunistic, Tropical and Hospital Infections, South Africa , Harshavadan Mackanjee Department of Paediatrics, South Africa , Olga Perovic Centre for Opportunistic, Tropical and Hospital Infections, South Africa , Koleka P Mlisana Department of Medical Microbiology, South Africa

Keywords: bacteraemia , bla_NDM-1 , carbapenemase , neonate , Raoultella ornithinolytica

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Abstract

Raoultella ornitholytica, an environmental organism, has only recently been reported as a cause of infections in humans, and is associated mainly with bacteraemia in elderly patients. Carbapenem resistance is unusual in Raoultella spp. We describe the first paediatric case of bla_NDM-1 Raoultella ornitholytica bacteraemia in a preterm neonate that developed three days after hospitalisation. This case report discusses a rare organism that had an unexpected susceptibility profile and caused bacteraemia in a neonate. Treatment options are explored.

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