Abstract

Enterobacter sakazakii is a yellow-pigmented, motile, peritrichous, gram-negative bacillus that has been associated with sepsis, necrotizing enterocolitis (NEC), meningitis, and brain abscesses in infants. Infants at greatest risk are those who are less than 28 days old (neonates), preterm, low-birth-weight, and immunocompromised. Here, we present a case of a 23-week gestational age neonate showing pneumatosis consistent with NEC on X-ray, whose blood cultures grew 2 morphotypes of E. sakazakii . The patient eventually stabilized with resolution of the pneumatosis without surgical intervention for NEC.

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