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Nosocomial pneumonia and sepsis caused by a rare organism Cedecea lapagei in an infant and a review of literature
  1. Viraraghavan Vadakkencherry Ramaswamy,
  2. Sanghamitra Gummadapu and
  3. Nori Suryanarayana
  1. Neonatology, Nori Multispeciality Hospital, Vijayawada, Andhra Pradesh, India
  1. Correspondence to Dr Viraraghavan Vadakkencherry Ramaswamy, 19.viraram{at}


A late preterm male infant of 36 weeks gestation and a birth weight of 2100 g was admitted on day 35 of life with complaints of respiratory distress and lethargy. He was diagnosed as a case of sepsis screen positive culture negative sepsis and was managed with respiratory support and intravenous antibiotics for 10 days. The infant improved clinically and was on spoon feeds by day 14 of admission. On day 14 of admission, he developed new-onset respiratory distress and was diagnosed as a case of nosocomial pneumonia based on chest radiography findings. The blood culture grew a rare organism Cedecea lapagei and a diagnosis of sepsis was also made. The antibiotics were tailored as per the blood culture sensitivity pattern and the infant had clinical improvement in the next 72 hours.

  • neonatal intensive care
  • materno-fetal medicine
  • neonatal and paediatric intensive care
  • neonatal health

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  • Contributors VVR and SG were involved in the clinical care of the subject. NS critically reviewed the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.