Neonate with Disseminated Pseudomonas Infection Presenting with Endogenous Endophthalmitis, Meningitis, and Subcutaneous Nodules

Abstract

A male patient born at 32 weeks, via emergent c-section, was immediately intubated due to fetal respiratory distress. Systemic evaluation identified Tetralogy of Fallot with pulmonary atresia, talipes equinovarus, absent tibias, and butterfly vertebrae. The first three weeks of life were complicated by an Enterococcus faecalis urinary tract infection and Pseudomonas aeruginosa bacteremia. On postnatal day twenty he developed multiple subcutaneous abdominal nodules (Fig. 1 A). Five days later, ophthalmology evaluation revealed severe right corneal ulceration (Fig.