Rahnella aquatilis Sepsis in a Premature Newborn

Table 1

All the patient’s significant laboratory/microbiological findings and the corresponding therapeutical changes.

Postnatal day	Clinical picture	Leukocytes count (/µL)	Platelets count (/µL)	CRP (mg/L)	Culture	Treatment
1st day	Suspected septicemia	40,000	170,000	10	Negative	Ampicillin and gentamicin
2nd day	Increasing in both oxygen demand and pressure requirement	30,000	80,000	42.4	Negative	Vancomycin and cefepime
8th day	Need for reintubation, abdominal distension, and hypotension	1,000	5,000	120	Negative	Meropenem and liposomal amphotericin B as well as intravenous immunoglobulin as adjuvant therapy
14th day	Pneumonia and atelectasis?	23,000	150,000	36	Negative	Linezolid was added
21st day	Pneumonia, oxygen desaturation, increasing ventilation demand, and suctioning requirement	28,000	110,000	89	S. maltophilia was isolated from endotracheal aspirate culture	Ciprofloxacin was added to liposomal amphotericin B
25th day	Pneumonia, oxygen desaturation, increasing ventilation demand, and suctioning requirement	21,000	33,000	110		Vancomycin and ceftazidime were added to ciprofloxacin; liposomal amphotericin B was discontinued
26th day					The blood cultures taken on 22nd and 23rd day were resulted in on 26th day. R. aquatilis was isolated from blood cultures	Meropenem and amikacin for 21 days