cefotaxime and Diseases-in-Twins

Asymptomatic excretion of group B streptococcus (GBS) in breast milk may be an underrecognized cause of neonatal and recurrent infection. We report the case of late-onset and recurrent infection in newborn twins resulting from ingestion of maternal breast milk infected with GBS. Genetic analysis of isolates is equally presented.

Topics: Amoxicillin; Anti-Bacterial Agents; Breast Feeding; Cefotaxime; Cross Infection; Diseases in Twins; Female; Humans; Infant, Newborn; Infant, Premature; Milk, Human; Polymerase Chain Reaction; Recurrence; Streptococcal Infections; Streptococcus agalactiae

We report here a rare case of simultaneous onset of preseptal cellulitis in twins. The absence of any infection in three other siblings during this period would suggest that the twins may not have developed simultaneous lid infection by sheer coincidence. The authors discuss the possible mechanism and emphasize the need for close surveillance of the twin of an index case with ocular infection.

Topics: Amoxicillin-Potassium Clavulanate Combination; Blepharitis; Cefotaxime; Cellulitis; Diseases in Twins; Drug Therapy, Combination; Follow-Up Studies; Humans; Infant; Infusions, Intravenous; Male; Risk Assessment; Severity of Illness Index; Treatment Outcome; Twins, Monozygotic

Melioidosis, caused by Pseudomonas pseudomallei, occurs in tropical areas and is diagnosed mostly in adults. In Khon Kaen, a province of northeast Thailand, five cases of infantile melioidosis were managed at Srinagarind Hospital. The patient's specimens were submitted to microbiologic and serologic examination for P. pseudomallei demonstrated by indirect hemagglutination. Possible modes of transmission such as environment, perinatal exposure and venereal transmission were investigated.

Topics: Cefotaxime; Cross Infection; Diseases in Twins; Female; Humans; Infant, Newborn; Infant, Premature, Diseases; Male; Melioidosis; Thailand