BMJ Case Reports 2012; doi:10.1136/bcr-2012-007407
  • Unusual presentation of more common disease/injury

Devastating coagulase-negative staphylococcal septicaemia in an extremely low birth weight infant

  1. Paul Clarke
  1. Neonatal Intensive Care Unit, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK
  1. Correspondence to Dr Paul Clarke, paul.clarke{at}


In developed countries, coagulase-negative staphylococci (CoNS) are responsible for the majority of late-onset infections in very low birth weight infants undergoing neonatal intensive care. As a common skin commensal, they are often considered as mere contaminants of peripheral blood cultures or as relatively benign bacteria clinically. We present a case of invasive CoNS septicaemia in an extremely low birth weight infant which had devastating effects.

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