CLINICAL CASE

Clinical features of protracted intestinal infection associated with Klebsiella pneumoniae in an infant

Gonchar NV1,2, Kopersak AK1, Skripchenko NV1,3, Razdyakonova IV1, Podlipnaya YuA1
About authors

1 Pediatric Research and Clinical Center for Infectious Diseases of the Federal Medical Biological Agency, Moscow, Russia

2 Mechnikov North-Western State Medical University, Saint Petersburg, Russia

3 Saint Petersburg State Pediatric Medical University, Saint Petersburg, Russia

Correspondence should be addressed: Natalia V. Gonchar
Kazanskaya, 45, Saint Petersburg, 190000, Russia; ur.xednay@rahcnogvn

About paper

Author contribution: Gonchar NV — manuscript writing and editing; Skripchenko NV — manuscript editing; Kopersak AK, Razdyakonova IV, Podlipnaya YuA — patient management, manuscript writing.

Compliance with the ethical standards: the informed consent to publication of case report was obtained from the patient’s parents.

Received: 2023-11-29 Accepted: 2024-01-26 Published online: 2024-03-20
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The development of complex criteria for the diagnosis, differential diagnosis, and optimization of treatment of infectious diarrhea associated with opportunistic Enterobacteriaceae is a pressing issue of pediatric research and practice. The paper reports a clinical case of protracted intestinal infection associated with Klebsiella pneumoniae in the form of moderate hemorrhagic enterocolitis in an infant, which is explained by the decrease in specific resistance due to unfavorable maternal obstetric and gynecological history, perinatal CNS injury, iron deficiency anemia, protein-energy malnutrition. The disease relapse associated with secondary norovirus infection was reported after the first hospitalization. Three courses of intestinal antiseptics and probiotics were required to achieve a beneficial treatment outcome, although usually in such a situation one course of such drugs is enough. The recovery process was accompanied by the nutritional status improvement, hemorrhagic colitis relief, normalization of gut microbiota.

Keywords: treatment, diagnosis, intestinal infections, infants, opportunistic enterobacteria

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