Sepsis and Lung Abscess Following Malposition of an Umbilical Vein Catheter in a Neonate

被引：4
|
作者：
Ihm, K. [1 ]
Bosk, A. [2 ]
Szavay, P. [3 ]
Schaefer, J. [4 ]
Hofbeck, M. [2 ]
机构：
[1] Univ Tubingen, Dept Hematol & Gen Pediat, Tubingen, Germany
[2] Univ Tubingen, Dept Pediat Cardiol Pulmonol & Intens Care, Tubingen, Germany
[3] Univ Tubingen, Dept Pediat Surg, Tubingen, Germany
[4] Univ Tubingen, Dept Diagnost Radiol, Tubingen, Germany
来源：
KLINISCHE PADIATRIE | 2009年 / 221卷 / 02期
关键词：
central venous line; umbilical catheter; malposition; neonatal sepsis; lung abscess; ESBL; Klebsiella; VENOUS CATHETERS; COMPLICATIONS;
D O I：
10.1055/s-0028-1104594
中图分类号：
R72 [儿科学];
学科分类号：
100202 ;
摘要：
Background: Umbilical vein catheterisation is a common and useful procedure in the care of critically ill newborns, but several complications may occur. Patients: We report on a newborn, who developed sepsis and necrotizing pneumonia of the right middle lobe due to extended spectrum beta lactamase (ESBL) Klebsiella following malposition of an umbilical vein catheter into a right pulmonary vein. Results: Due to failed conservative treatment the child required lobectomy of the right middle lobe. Conclusion: Our case highlights the importance of exact determination of the position of central catheters by x-ray and/or ultrasound immediately after placement.
引用
收藏
页码：76 / 77
页数：2
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