Prolonged febrile illness due to CTX-M-15 extendedspectrum β-lactamase-producing <i>Klebsiella pneumoniae</i> infection in Nigeria

We report on an 8-year-old patient with septicaemia unresponsive to therapy for five weeks. Undetected, extended-spectrum β-lactamase (ESBL) production by the infecting Klebsiella strain was regarded as responsible for treatment failure. Intravenously administered imipenem during the sixth week led...

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Main Authors: Oladipo A. Aboderin, Olufemi Adefehinti, Babatunde W. Odetoyin, Amadin A. Olotu, Iruka N. Okeke, Olugbenga Adeodu
Format: Article
Language:English
Published: AOSIS 2012-06-01
Series:African Journal of Laboratory Medicine
Subjects:
Online Access:https://ajlmonline.org/index.php/ajlm/article/view/16
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spelling doaj-2c8b9265c9f74923b72f0d3683ef9d6f2020-11-25T00:16:16ZengAOSISAfrican Journal of Laboratory Medicine2225-20022225-20102012-06-0111e1e410.4102/ajlm.v1i1.1614Prolonged febrile illness due to CTX-M-15 extendedspectrum β-lactamase-producing <i>Klebsiella pneumoniae</i> infection in NigeriaOladipo A. Aboderin0Olufemi Adefehinti1Babatunde W. Odetoyin2Amadin A. Olotu3Iruka N. Okeke4Olugbenga Adeodu5Department of Medical Microbiology and Parasitology, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria Department of Medical Microbiology and Parasitology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, NigeriaDepartment of Paediatrics, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, NigeriaDepartment of Medical Microbiology and Parasitology, Obafemi Awolowo University, Ile-Ife, Osun StateDepartment of Medical Microbiology and Parasitology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-IfeDepartment of Biology, Haverford College, Haverford, PADepartment of Medical Microbiology and Parasitology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife Department of Paediatrics and Child Health, Obafemi Awolowo University, Ile-IfeWe report on an 8-year-old patient with septicaemia unresponsive to therapy for five weeks. Undetected, extended-spectrum β-lactamase (ESBL) production by the infecting Klebsiella strain was regarded as responsible for treatment failure. Intravenously administered imipenem during the sixth week led to sustained resolution of fever. Resource-limited hospitals can incur prohibitive costs from ESBL-producer infections because of diagnostic limitations and consequent treatment failure involving prolonged supportive therapy.https://ajlmonline.org/index.php/ajlm/article/view/16septicaemiaCTX-M-15Klebsiella pneumoniaeNigeria
collection DOAJ
language English
format Article
sources DOAJ
author Oladipo A. Aboderin
Olufemi Adefehinti
Babatunde W. Odetoyin
Amadin A. Olotu
Iruka N. Okeke
Olugbenga Adeodu
spellingShingle Oladipo A. Aboderin
Olufemi Adefehinti
Babatunde W. Odetoyin
Amadin A. Olotu
Iruka N. Okeke
Olugbenga Adeodu
Prolonged febrile illness due to CTX-M-15 extendedspectrum β-lactamase-producing <i>Klebsiella pneumoniae</i> infection in Nigeria
African Journal of Laboratory Medicine
septicaemia
CTX-M-15
Klebsiella pneumoniae
Nigeria
author_facet Oladipo A. Aboderin
Olufemi Adefehinti
Babatunde W. Odetoyin
Amadin A. Olotu
Iruka N. Okeke
Olugbenga Adeodu
author_sort Oladipo A. Aboderin
title Prolonged febrile illness due to CTX-M-15 extendedspectrum β-lactamase-producing <i>Klebsiella pneumoniae</i> infection in Nigeria
title_short Prolonged febrile illness due to CTX-M-15 extendedspectrum β-lactamase-producing <i>Klebsiella pneumoniae</i> infection in Nigeria
title_full Prolonged febrile illness due to CTX-M-15 extendedspectrum β-lactamase-producing <i>Klebsiella pneumoniae</i> infection in Nigeria
title_fullStr Prolonged febrile illness due to CTX-M-15 extendedspectrum β-lactamase-producing <i>Klebsiella pneumoniae</i> infection in Nigeria
title_full_unstemmed Prolonged febrile illness due to CTX-M-15 extendedspectrum β-lactamase-producing <i>Klebsiella pneumoniae</i> infection in Nigeria
title_sort prolonged febrile illness due to ctx-m-15 extendedspectrum β-lactamase-producing <i>klebsiella pneumoniae</i> infection in nigeria
publisher AOSIS
series African Journal of Laboratory Medicine
issn 2225-2002
2225-2010
publishDate 2012-06-01
description We report on an 8-year-old patient with septicaemia unresponsive to therapy for five weeks. Undetected, extended-spectrum β-lactamase (ESBL) production by the infecting Klebsiella strain was regarded as responsible for treatment failure. Intravenously administered imipenem during the sixth week led to sustained resolution of fever. Resource-limited hospitals can incur prohibitive costs from ESBL-producer infections because of diagnostic limitations and consequent treatment failure involving prolonged supportive therapy.
topic septicaemia
CTX-M-15
Klebsiella pneumoniae
Nigeria
url https://ajlmonline.org/index.php/ajlm/article/view/16
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