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October 1969

Klebsiella Osteomyelitis in a Newborn

Author Affiliations

Hadera, Israel
From the Department of Pediatrics, The Hillel Yaffe Memorial Government Hospital, Hadera, Israel.

Am J Dis Child. 1969;118(4):634-637. doi:10.1001/archpedi.1969.02100040636019

OSTEOMYELITIS due to Klebsiella pneumoniae would seem to be extremely uncommon. The literature has disclosed reports on a total of 11 cases, all of them in adults.1-5 No case of Klebsiella osteomyelitis has been described in children, infants or the newborn, and reviews of osteomyelitis in children do not mention Klebsiella as a possible causative agent.6-10 This is surprising, since gram-negative bacteria (especially the gram-negative enteric flora) have become increasingly important both in prevalence and severity in neonatal infection.11-13 Recently, reports have appeared describing osteomyelitis in infants due to organisms that were considered to be rare as factors in this disease 14-18; these reports emphasize the need for awareness of the expanding range of etiological possibilities in osteomyelitis in infancy.

We hereby report the case of a 25-day-old girl who developed multiple bone lesions due to K pneumoniae. To the best of our knowledge this is the first case

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