Case Report

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

Yesholata Mahabeer, Ashika Singh-Moodley, Harshavadan Mackanjee, Olga Perovic, Koleka P. Mlisana
Southern African Journal of Infectious Diseases | Vol 32, No 2 | a52 | DOI: https://doi.org/10.4102/sajid.v32i2.52 | © 2019 Yesholata Mahabeer, Ashika Singh-Moodley, Harshavadan Mackanjee, Olga Perovic, Koleka P. Mlisana | This work is licensed under CC Attribution 4.0
Submitted: 14 May 2019 | Published: 01 July 2017

About the author(s)

Yesholata Mahabeer, Department of Medical Microbiology, National Health Laboratory Services, Durban, South Africa; School of Laboratory Medicine and Medical Sciences, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa
Ashika Singh-Moodley, Centre for Opportunistic, Tropical and Hospital Infections, National Institute for Communicable Diseases, Johannesburg, South Africa; Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
Harshavadan Mackanjee, Department of Paediatrics, Inkosi Albert Luthuli Central Hospital, Durban, South Africa
Olga Perovic, Centre for Opportunistic, Tropical and Hospital Infections, National Institute for Communicable Diseases, Johannesburg, South Africa; Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
Koleka P. Mlisana, Department of Medical Microbiology, National Health Laboratory Services, Durban, South Africa; School of Laboratory Medicine and Medical Sciences, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa

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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 blaNDM-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.

Keywords

bacteraemia; blaNDM-1; carbapenemase; neonate; Raoultella ornithinolytica

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Crossref Citations

1. A spotlight on Raoultella ornithinolytica: A newly emerging life-threatening zoonotic pathogen
Wafaa A. Abd El-Ghany
International Journal of One Health  vol: 7  issue: 1  first page: 1  year: 2021  
doi: 10.14202/IJOH.2021.1-5